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Organization
OPEN ARMS & HEART SERVICES INC
Active
Organization
OPEN ARMS & HEART SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANTANA D JOHNSON (PRESIDENT-OWNER)
(321) 430-8194
Entity
Organization
Contact information
Practice address
1920 VERANO DR STE 105, HAINES CITY, FL 33844-8585
(321) 430-8194
(855) 257-1340
Mailing address
1190 BLARNEY ST, MINNEOLA, FL 34715-7634
(321) 217-2409
(855) 257-1340
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
10/13/2021
Last updated
06/26/2024
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