NPIMap

Organization Active NPI

Open Door Home Health Care & Community Services LLC

  • In Home Supportive Care Agency
  • Winston Salem, NC
National Provider Identifier
1336413665
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPEN DOOR HOME HEALTH CARE & COMMUNITY SERVICES LLC
Practice address
1900 Martin Luther King Jr Dr
P
Winston-Salem, NC 27107-1348
Phone
(336) 734-6919
NPI assigned
Mar 5, 2012
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Simone White
Title
President
Phone
(336) 734-6919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1900 Martin Luther King Jr Dr
P
Winston-Salem, NC 27107-1348

Mailing address

1900 MLK Jr Dr
Winston-Salem, NC 27107-1348

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1336413665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MLK JR DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271071348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MARTIN LUTHER KING JR DR",
            "address_2": "P",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271071348",
            "telephone_number": "336-734-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR HOME HEALTH CARE & COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-734-6919"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.