Organization Active NPI

Open Arms & Heart Services Inc

  • In Home Supportive Care Agency
  • Haines City, FL
National Provider Identifier
1215699525
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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
Oct 13, 2021
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Mrs. Shantana D JohnsonNPI 1528734548
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)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Adult Companion 372600000X NU
Respite Care 385H00000X NU
Child Mental Illness Respite Care 385HR2055X NU
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU
Child Physical Disabilities Respite Care 385HR2065X NU
In Home Supportive Care Agency 253Z00000X NU Primary

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) 217-2409

Other identifiers 2

IdentifierTypeStateIssuer
022449300MedicaidFL
108545900MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Open Arms Heart Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1920 Verano Dr
Ste 105
Haines City, FL 33844
Phone (321) 217-2409

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1215699525",
    "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": "321-217-2409",
            "fax_number": "855-257-1340"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "OPEN ARMS & HEART SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHANTANA",
        "authorized_official_middle_name": "D",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022449300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108545900",
            "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 Jun 26, 2024; 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.