A&R Open Door Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

337518 Issued in MN

Legal business name

A&R OPEN DOOR INC

Practice address

14215 46TH PL N
Plymouth, MN 55446-3494

Phone

(763) 519-1159

Fax

(763) 519-0061

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ackim Haamankuli

Title

President

Phone

(763) 519-1159

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1477740215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14215 46TH PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463494",
            "telephone_number": "763-519-1159",
            "fax_number": "763-519-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14215 46TH PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463494",
            "telephone_number": "763-519-1159",
            "fax_number": "763-519-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&R OPEN DOOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "HAAMANKULI",
        "authorized_official_first_name": "ACKIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-519-1159",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "337757",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "337754",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "337518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Plymouth, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.