NPIMap

Organization Active NPI

Open Arms Care Corporation

  • Intellectual Disabilities Intermediate Care Facility
  • Knoxville, TN
National Provider Identifier
1770019911
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
I000000015523 Issued in TN
Legal business name
OPEN ARMS CARE CORPORATION
Practice address
12629 S Northshore Dr
Knoxville, TN 37922-5446
Phone
(865) 409-0346
Fax
(865) 409-0347
NPI assigned
May 9, 2017
Last updated
Jun 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Richard Brown
Title
Dir Govt Relations
Phone
(615) 254-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X I000000015523 TN Primary

Addresses

Primary practice location

12629 S Northshore Dr
Knoxville, TN 37922-5446

Mailing address

101 Westpark Dr Ste 140
Brentwood, TN 37027-5031
Phone (615) 254-4006

Other identifiers 1

IdentifierTypeStateIssuer
I000000015523OtherTNLICENSE - DEPT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITES

National Provider Directory

National Provider Directory
Tax ID family
Open Arms Care Corporation42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Locations

12629 S Northshore Dr
Knoxville, TN 37922
Phone (865) 409-0346

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": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1770019911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WESTPARK DR STE 140",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275031",
            "telephone_number": "615-254-4006",
            "fax_number": "615-254-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12629 S NORTHSHORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225446",
            "telephone_number": "865-409-0346",
            "fax_number": "865-409-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIR GOVT RELATIONS",
        "authorized_official_telephone_number": "615-254-4006"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TN",
            "license": "I000000015523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE - DEPT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITES",
            "identifier": "I000000015523",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

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