NPIMap

Organization Active NPI

Open Door Living Association, Inc

  • Community/Behavioral Health Agency
  • Eastpointe, MI
National Provider Identifier
1386054724
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6301015244 Issued in MI
Legal business name
OPEN DOOR LIVING ASSOCIATION, INC
Practice address
16320 E 9 Mile Rd
Eastpointe, MI 48021-2440
Phone
(586) 218-8570
Fax
(586) 944-2731
NPI assigned
May 7, 2014
Organization subpart
Yes
Parent organization
OPEN DOOR LIVING SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Mrs. Mya Ndiaye, MA, TLLP
Title
Chief Operating Officer
Phone
(313) 414-1945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6301015244 MI Primary

Addresses

Primary practice location

16320 E 9 Mile Rd
Eastpointe, MI 48021-2440

Mailing address

16320 E 9 Mile Rd
Eastpointe, MI 48021-2440
Phone (586) 218-8570

National Provider Directory

National Provider Directory
Part of
Open Door Living Services 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 3

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": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1386054724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16320 E 9 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212440",
            "telephone_number": "586-218-8570",
            "fax_number": "586-944-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16320 E 9 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212440",
            "telephone_number": "586-218-8570",
            "fax_number": "586-944-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR LIVING ASSOCIATION, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPEN DOOR LIVING SERVICES, LLC",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "NDIAYE",
        "authorized_official_first_name": "MYA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "313-414-1945",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, TLLP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301015244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.