NPIMap

Organization Active NPI

Open Door Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lynwood, IL
National Provider Identifier
1376227173
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
OPEN DOOR SERVICES
Practice address
19821 Margaret CT
Lynwood, IL 60411-6302
Phone
(708) 374-0747
NPI assigned
Jun 12, 2023
Organization subpart
Yes
Parent organization
OPEN DOOR BEHAVIOR SOLUTIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Maya Williams, BCBANPI 1356887012
Title
Ceo/Owner
Phone
(708) 374-0747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

19821 Margaret CT
Lynwood, IL 60411-6302

Mailing address

19821 Margaret CT
Lynwood, IL 60411-6302
Phone (708) 374-0747

National Provider Directory

National Provider Directory
Part of
Open Door Behavior Solutions LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1376227173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19821 MARGARET CT",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604116302",
            "telephone_number": "708-374-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19821 MARGARET CT",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604116302",
            "telephone_number": "708-374-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPEN DOOR BEHAVIOR SOLUTIONS LLC",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "708-374-0747",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.