Organization Active NPI

Flagler Open Arms Services Inc

  • Community/Behavioral Health Agency
  • Bunnell, FL
National Provider Identifier
1669297073
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLAGLER OPEN ARMS SERVICES INC
Practice address
1 Enterprise Dr Unit 1
Bunnell, FL 32110-4346
Phone
(863) 569-4310
NPI assigned
Nov 20, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Pamela Birtolo
Title
Executive Director
Phone
(386) 569-4310

Specialties & licenses 1

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

Addresses

Primary practice location

1 Enterprise Dr Unit 1
Bunnell, FL 32110-4346

Mailing address

1 Enterprise Dr Unit 1
Bunnell, FL 32110-4346
Phone (863) 569-4310

National Provider Directory

National Provider Directory

Locations

1 Enterprise Dr
Unit 1
Bunnell, FL 32110
Phone (863) 569-4310

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1669297073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ENTERPRISE DR UNIT 1",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321104346",
            "telephone_number": "863-569-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ENTERPRISE DR UNIT 1",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321104346",
            "telephone_number": "863-569-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER OPEN ARMS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "BIRTOLO",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-569-4310"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunnell, FL

Sources for this page

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