Open Door Community Services, Inc

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

OPEN DOOR COMMUNITY SERVICES, INC

Practice address

926 W Main St
Muncie, IN 47305-1539

Phone

(765) 289-5928

Fax

(765) 747-2978

NPI assigned

Dec 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda L Shepherd

Title

President Ceo

Phone

(765) 289-5928

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124189899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 W MAIN ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473051539",
            "telephone_number": "765-289-5928",
            "fax_number": "765-747-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 W MAIN ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473051539",
            "telephone_number": "765-289-5928",
            "fax_number": "765-747-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "765-289-5928"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Oliphant
• Marina Oliynyk, NP
• Dallin R. Olson, MD
• Samantha Ann Olubajo
• Kristy Opel
• Open Door Health Services, Inc.
• Open Door Health Services, Inc.
• Open Door Health Services, Inc.
• Open Door Health Services, Inc.
• Open Door Health Services, Inc.

• All providers in Muncie, IN
• Homemaker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.