NPIMap

Organization Active NPI

Open Door Center

  • Intellectual Disabilities Intermediate Care Facility
  • Valley City, ND
National Provider Identifier
1235204389
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
OPEN DOOR CENTER
Practice address
209 2ND Street SE
Valley City, ND 58072
Phone
(701) 845-1124
Fax
(701) 845-1175
NPI assigned
Nov 22, 2006
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Mrs. Marcy Rae Svenningsen
Title
Finance Director
Phone
(701) 845-1124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X ND Primary

Addresses

Primary practice location

209 2ND Street SE
Valley City, ND 58072

Mailing address

129 3Rd Ave NE
Valley City, ND 58072-3057
Phone (701) 845-1124

Other identifiers 1

IdentifierTypeStateIssuer
30822MedicaidND

National Provider Directory

National Provider Directory
Tax ID family
Open Door Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

209 2nd St SE
Valley City, ND 58072
Phone (701) 845-1124

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1235204389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 3RD AVE NE",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723057",
            "telephone_number": "701-845-1124",
            "fax_number": "701-845-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 2ND STREET SE",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "58072",
            "telephone_number": "701-845-1124",
            "fax_number": "701-845-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "SVENNINGSEN",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "701-845-1124",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30822",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley City, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.