Active NPI
Open Arms & Heart Services Inc
- In Home Supportive Care Agency
- Haines City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- OPEN ARMS & HEART SERVICES INC
- Practice address
- 1920 Verano Dr Ste 105
Haines City, FL 33844-8585 - Phone
- (321) 430-8194
- Fax
- (855) 257-1340
- NPI assigned
- Aug 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shantana Johnson
- Title
- President/Owner
- Phone
- (321) 430-8194
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 234841 | FL | |
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Private Vehicle | 347C00000X | |||
| Homemaker | 376J00000X | |||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
1920 Verano Dr Ste 105
Haines City, FL 33844-8585
Mailing address
1190 Blarney St
Minneola, FL 34715-7634
Phone (321) 430-8194
Other practice location 1
461 Dominish Estates Dr
Apopka, FL 32712-3726
Phone (321) 430-8194
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022449300 | Medicaid | FL | |
| 022020300 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Open Arms Heart Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Haines City, FL
- NPI 1215699525
Locations
1920 Verano Dr
Ste 201
Haines City, FL 33844
Phone (863) 421-9393
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Haines City, FL
- NPI 1528734548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629158400000",
"number": "1144748922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 BLARNEY ST",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347157634",
"telephone_number": "321-430-8194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 VERANO DR STE 105",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338448585",
"telephone_number": "321-430-8194",
"fax_number": "855-257-1340"
}
],
"practiceLocations": [
{
"address_1": "461 Dominish Estates Dr",
"address_purpose": "LOCATION",
"city": "Apopka",
"state": "FL",
"postal_code": "327123726",
"country_code": "US",
"telephone_number": "321-430-8194",
"fax_number": "855-257-1340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OPEN ARMS & HEART SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-31",
"last_updated": "2021-08-17",
"certification_date": "2020-12-17",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SHANTANA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "321-430-8194",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "234841",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022449300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022020300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.