Organization Active NPI

Open Arms Assisted Living, Incoporation

  • Assisted Living Facility
  • Haverhill, FL
National Provider Identifier
1174969869
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9967 Issued in FL
Legal business name
OPEN ARMS ASSISTED LIVING, INCOPORATION
Practice address
4652 Belvedere Rd
Haverhill, FL 33415-1326
Phone
(561) 478-9345
Fax
(561) 640-7254
NPI assigned
May 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Maria Munoz
Title
Administrator
Phone
(561) 932-8407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9967 FL Primary

Addresses

Primary practice location

4652 Belvedere Rd
Haverhill, FL 33415-1326

Mailing address

4652 Belvedere Rd
Haverhill, FL 33415-1326
Phone (561) 478-9345

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1174969869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4652 BELVEDERE RD",
            "city": "HAVERHILL",
            "state": "FL",
            "postal_code": "334151326",
            "telephone_number": "561-478-9345",
            "fax_number": "561-640-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4652 BELVEDERE RD",
            "city": "HAVERHILL",
            "state": "FL",
            "postal_code": "334151326",
            "telephone_number": "561-478-9345",
            "fax_number": "561-640-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS ASSISTED LIVING, INCOPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-932-8407"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.