NPIMap

Organization Active NPI

Open Arms Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1780897843
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-026-733 Issued in NC
Legal business name
OPEN ARMS HOME
Practice address
3413 Sanderosa Road
Fayetteville, NC 28301
Phone
(901) 483-6416
Fax
(910) 483-5924
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Ms. Shearldena M. Turner
Title
Director
Phone
(910) 483-6416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-026-733 NC Primary

Addresses

Primary practice location

3413 Sanderosa Road
Fayetteville, NC 28301

Mailing address

P.O. Box 504
Fayetteville, NC 28302
Phone (910) 483-6416

Other identifiers 1

IdentifierTypeStateIssuer
6603387MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Open Arms Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1780897843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 504",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28302",
            "telephone_number": "910-483-6416",
            "fax_number": "910-483-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 SANDEROSA ROAD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28301",
            "telephone_number": "901-483-6416",
            "fax_number": "910-483-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "SHEARLDENA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-483-6416",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-026-733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603387",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.