1952173817 NPI number — OPEN DOORS THERAPEUTIC HOME LLC

Table of content: (NPI 1952173817)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952173817 NPI number — OPEN DOORS THERAPEUTIC HOME LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OPEN DOORS THERAPEUTIC HOME LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HEART OF GOLDSENIOR HOMECARE LLC
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952173817
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/18/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
38212 W SANTA BARBARA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARICOPA
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85138-5302
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-364-9925
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
38212 W SANTA BARBARA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARICOPA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85138-5302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-364-9925
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/24/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SALAKO
Authorized Official First Name:
CHIDINMA
Authorized Official Middle Name:
GRACE
Authorized Official Title or Position:
ADMINISTRATION
Authorized Official Telephone Number:
480-749-8176

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 323P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)