Open Arms Home Health Care - Des Moines, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPEN ARMS HOME HEALTH CARE - DES MOINES, LLC

Practice address

1331 Idaho St
Des Moines, IA 50316-2463

Phone

(952) 447-2345

Fax

(952) 447-2344

NPI assigned

Oct 28, 2016

Last updated

Oct 28, 2016By the provider in NPPES

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801348545. Details of each certification follow.

• CCN 167435 Home health agency · Active · Details

Home health agency certification: CCN 167435

Legal name

OPEN ARMS HOME HEALTH CARE - DES MOINES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 19, 2017

Last certification

Oct 15, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Oct 24, 2016 in IA

Enrollment address

1331 Idaho St
Des Moines, IA 50316-2463

Listed as

Open Arms Home Health Care - Des Moines, LLCCCN 167435 · All quality measures

Ownership

Proprietary

Certified

Oct 19, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

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.

Facilities with the same owner 3

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

• Open Arms Home Health Care - Council Bluffs, LLC

  • Home Health Agency
  • Council Bluffs, IA
  • NPI 1043662893

  Evergreen Real Estate Development Corporation

  CMS ownership
• Open Arms Home Health Care - Waterloo, LLC

  • Home Health Agency
  • Waterloo, IA
  • NPI 1821457235

  Evergreen Real Estate Development Corporation

  CMS ownership
• Open Arms Home Health Care LLC

  • Home Health Agency
  • Dubuque, IA
  • NPI 1790067320

  Evergreen Real Estate Development Corporation

  CMS ownership

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1801348545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16670 FRANKLIN TRAIL SE",
            "address_2": "SUITE 240",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722927",
            "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": "1331 IDAHO ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162463",
            "telephone_number": "952-447-2345",
            "fax_number": "952-447-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS HOME HEALTH CARE - DES MOINES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "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": []
}

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• Home Health Agency in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Home Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.