Open Harbors Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

License

10413503AFC Issued in MN

Legal business name

OPEN HARBORS INC.

Practice address

28347 112TH St NW
Zimmerman, MN 55398-4307

Phone

(763) 389-5412

NPI assigned

Jan 7, 2008

Last updated

Jan 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margery Ann Vetsch-Peterson, RNNPI 1962525626

Title

President

Phone

(763) 389-5412

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margery Ann Vetsch-Peterson, RN

  • Case Manager/Care Coordinator
  • Zimmerman, MN
  • NPI 1962525626
  NPD (past) Authorized official

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1346425543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28347 112TH ST NW",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553984307",
            "telephone_number": "763-389-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28347 112TH ST NW",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553984307",
            "telephone_number": "763-389-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HARBORS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "VETSCH-PETERSON",
        "authorized_official_first_name": "MARGERY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-389-5412",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MN",
            "license": "10413503AFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.