Provider Demographics
NPI:1053128280
Name:OPEN ARMS HEALTHCARE
Entity type:Organization
Organization Name:OPEN ARMS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YVES
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHERY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:408-569-2525
Mailing Address - Street 1:1000 PEACHTREE INDUSTRIAL BLVD STE 135
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6737
Mailing Address - Country:US
Mailing Address - Phone:408-569-2525
Mailing Address - Fax:
Practice Address - Street 1:1000 PEACHTREE INDUSTRIAL BLVD STE 135
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6737
Practice Address - Country:US
Practice Address - Phone:408-569-2525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty