An Open Door

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AN OPEN DOOR

Practice address

5818 Nunatak PL
Las Cruces, NM 88012-7929

Phone

(575) 382-2170

Fax

(575) 373-0121

NPI assigned

May 1, 2012

Last updated

May 1, 2012By 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

Mr. Mark Chavez I

Title

Director

Phone

(575) 382-2107

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1417215112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 NUNATAK PL",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127929",
            "telephone_number": "575-382-2170",
            "fax_number": "575-373-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 NUNATAK PL",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127929",
            "telephone_number": "575-382-2170",
            "fax_number": "575-373-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN OPEN DOOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "575-382-2107",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 May 1, 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.