Active NPI
Open Arms LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Albuquerque, NM
National Provider Identifier
1861198384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- OPEN ARMS LLC
- Doing business as
- Open Arms Supported Living
- Practice address
- 4113 Eubank Blvd NE Ste 200
Albuquerque, NM 87111-3482 - Phone
- (505) 420-7149
- NPI assigned
- Feb 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcus Anthony Lathon
- Title
- Executive Director
- Phone
- (505) 415-8298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
4113 Eubank Blvd NE Ste 200
Albuquerque, NM 87111-3482
Mailing address
4113 Eubank Blvd NE Ste 200
Albuquerque, NM 87111-3482
Phone (505) 415-8298
Other names 1
- Open Arms Supported Living
National Provider Directory
National Provider DirectoryLocations
4113 Eubank Blvd NE
Ste 200
Albuquerque, NM 87111
Phone (505) 200-9158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695254400000",
"number": "1861198384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4113 EUBANK BLVD NE STE 200",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113482",
"telephone_number": "505-415-8298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4113 EUBANK BLVD NE STE 200",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113482",
"telephone_number": "505-420-7149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN ARMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-06",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A",
"authorized_official_last_name": "LATHON",
"authorized_official_first_name": "MARCUS",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "505-415-8298"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Open Arms Supported Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.