Organization
OPEN ARMS & HEART SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANTANA 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) 430-8194
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
234841
FL
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022020300
—
FL
05
—
022449300
—
FL
Enumeration date
08/31/2017
Last updated
08/17/2021
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