NPIMap

Organization Active NPI

Open Arms Residential & Community Support Inc.

  • Community/Behavioral Health Agency
  • Rocky Mount, NC
National Provider Identifier
1336449784
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OPEN ARMS RESIDENTIAL & COMMUNITY SUPPORT INC.
Practice address
301 S Church St
Suite 152 Station Square
Rocky Mount, NC 27804-5755
Phone
(252) 212-5505
Fax
(252) 795-5006
NPI assigned
Nov 1, 2010
Last updated
Nov 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Mrs. Deborah Ann Battle
Title
Ceo
Phone
(252) 795-5004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

301 S Church St
Suite 152 Station Square
Rocky Mount, NC 27804-5755

Mailing address

PO Box 107
Robersonville, NC 27871-0107
Phone (252) 795-5004

Other identifiers 1

IdentifierTypeStateIssuer
8302201MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
C D Foundation Family Care Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

301 S Church St
Ste 152
Rocky Mount, NC 27804
Phone (252) 212-5505

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1336449784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 107",
            "city": "ROBERSONVILLE",
            "state": "NC",
            "postal_code": "278710107",
            "telephone_number": "252-795-5004",
            "fax_number": "252-795-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CHURCH ST",
            "address_2": "SUITE 152 STATION SQUARE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045755",
            "telephone_number": "252-212-5505",
            "fax_number": "252-795-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS RESIDENTIAL & COMMUNITY SUPPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-795-5004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302201",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.