Organization Active NPI

Open Arms Corp

  • Adult Day Care Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1104224435
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1076264 Issued in MN
Legal business name
OPEN ARMS CORP
Practice address
624 E Lake St
Minneapolis, MN 55407
Phone
(612) 226-5989
NPI assigned
Dec 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Lensa Mohamed
Title
Director
Phone
(612) 814-2159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1076264 MN Primary

Addresses

Primary practice location

624 E Lake St
Minneapolis, MN 55407

Mailing address

624 E Lake St
Minneapolis, MN 55407-1549
Phone (612) 814-2159

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1104224435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071549",
            "telephone_number": "612-814-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-226-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "LENSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-814-2159",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1076264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.