NPIMap

Organization Active NPI

Open Arms Home Health Care LLC

  • Home Health Agency
  • Dubuque, IA
National Provider Identifier
1790067320
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OPEN ARMS HOME HEALTH CARE LLC
Practice address
3390 Lake Ridge Drive
Dubuque, IA 52003
Phone
(952) 447-2345
Fax
(952) 447-2344
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Mr. Gregory A McClenahan, JD, MBA
Title
Chief Manager of LLC
Phone
(952) 447-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3390 Lake Ridge Drive
Dubuque, IA 52003

Mailing address

16670 Franklin TRL SE
Suite 240
Prior Lake, MN 55372-2924
Phone (952) 447-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120522001129 IA Part A Provider - Home Health Agency 7012170491 Practice locations: Dubuque, IA

Home health agency certification: CCN 167324

Legal name
OPEN ARMS HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 19, 2012
Last certification
Nov 21, 2018
Ownership / control type
Proprietary
Organization structure
OtherProprietary
Incorporated
Aug 12, 2011 in IA
Enrollment address
3390 Lake Ridge Dr
Dubuque, IA 52003-7750

Care Compare: Home health agency

Medicare Care Compare
Listed as
Open Arms Home Health Care, L L CCCN 167324
Ownership
Proprietary
Certified
Dec 19, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
16D2236799Open Arms Home Health Care, LLC3390 Lake Ridge Drive, Dubuque, IA 52003Certificate of waiverSep 19, 2027

National Provider Directory

National Provider Directory

Locations

419 N Grandview Ave
#1
Dubuque, IA 52001
Phone (563) 583-2400

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jenny Lynne Schueller Individual W-2 Managing EmployeeAd; Feb 14, 2022
Evergreen Real Estate Development Corporation Organization, Prior Lake, MN Corporation 5% Or Greater Direct Ownership Interest Aug 12, 2011 100%
Operational/Managerial Control Aug 12, 2011
Gregory McClenahan Individual 5% Or Greater Indirect Ownership InterestPres of Corporate Owner of Provider Aug 12, 2011 100%
Corporate OfficerCHF MGR of Provider; Pres of Owner Aug 12, 2011

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1790067320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16670 FRANKLIN TRL SE",
            "address_2": "SUITE 240",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722924",
            "telephone_number": "952-447-2345",
            "fax_number": "952-447-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 LAKE RIDGE DRIVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52003",
            "telephone_number": "952-447-2345",
            "fax_number": "952-447-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "MCCLENAHAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF MANAGER OF LLC",
        "authorized_official_telephone_number": "952-447-2345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.