Open Arms Youth Homes

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OPEN ARMS YOUTH HOMES

Practice address

10904 E Sebring Ave
Mesa, AZ 85212-5229

Phone

(480) 984-1795

Fax

(480) 984-1795

NPI assigned

Apr 20, 2023

Organization subpart

No

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

Authorized official

Name

Elvis Wayne DicksonNPI 1477152916

Title

Founder/Ceo

Phone

(480) 984-1795

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elvis W Dickson

  • Foster Care Agency
  • Mesa, AZ
  • NPI 1477152916
  NPD Authorized official

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1144917006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 S HIGLEY RD. STE 104 PMB 1205",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852965045",
            "telephone_number": "480-984-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10904 E SEBRING AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852125229",
            "telephone_number": "480-984-1795",
            "fax_number": "480-984-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS YOUTH HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "ELVIS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "480-984-1795"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Opal Anesthesia, LLC
• Jaroslaw F Opechowski, MD
• Thomas A Opechowski, M.D.
• Morgan Mairead Opela
• Open Arms Integrated Healthcare LLC
• Open Hearts Health Center
• Open Minds Healing Center
• Ammon Allen Opie, DC
• Douglas Opie, DC
• Opportunity Changes Communities LLC

• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.