Opendors,LLC.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

OPENDORS,LLC.

Practice address

715 Summit St
Monroe, NC 28112-5666

Phone

(980) 890-8904

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Doressia McKethanNPI 1235518457

Title

President

Phone

(910) 797-7490

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Doressia McKethan

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1235518457
  NPD Authorized official

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1497410526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042623",
            "telephone_number": "980-890-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SUMMIT ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125666",
            "telephone_number": "980-890-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPENDORS,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "MCKETHAN",
        "authorized_official_first_name": "DORESSIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-797-7490"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@opendorsnc.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "715 Summit St",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281125666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meredith Walker Oliver, PHYSICIAN ASSISTANT
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• Rachel Schaefer Ortiz, CRNA

• Mental Illness Community Based Residential Treatment Facility in Monroe, NC
• Providers in Monroe, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.