Organization Active NPI

Open Arms Senior Living

  • Assisted Living Facility (Behavioral Disturbances)
  • Rice Lake, MN
National Provider Identifier
1407621345
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
OPEN ARMS SENIOR LIVING
Doing business as
Open Arms Senior Living
Practice address
4414 Martin Rd
Rice Lake, MN 55803-1268
Phone
(218) 275-7280
Fax
(218) 275-7276
NPI assigned
Nov 21, 2023
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Jordann Balaich, RN, LALDNPI 1780254037
Title
Executive Director
Phone
(218) 576-5664

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X NU Primary

Addresses

Primary practice location

4414 Martin Rd
Rice Lake, MN 55803-1268

Mailing address

4414 Martin Rd
Rice Lake, MN 55803-1268
Phone (218) 275-7280

Other names 1

  • Open Arms Senior Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2267683Open Arms Senior Living, Inc4414 Martin Rd, Rice Lake, MN 55803Certificate of waiverAug 29, 2026

National Provider Directory

National Provider Directory

Locations

4414 Martin Rd
Rice Lake, MN 55803
Phone (218) 275-7280

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": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1407621345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 MARTIN RD",
            "city": "RICE LAKE",
            "state": "MN",
            "postal_code": "558031268",
            "telephone_number": "218-275-7280",
            "fax_number": "218-275-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 MARTIN RD",
            "city": "RICE LAKE",
            "state": "MN",
            "postal_code": "558031268",
            "telephone_number": "218-275-7280",
            "fax_number": "218-275-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "BALAICH",
        "authorized_official_first_name": "JORDANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-576-5664",
        "authorized_official_credential": "RN, LALD"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Arms Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rice Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.