NPIMap

Organization Active NPI

Open Door Center

  • In Home Supportive Care Agency
  • Valley City, ND
National Provider Identifier
1588255459
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPEN DOOR CENTER
Practice address
3731 117TH Ave SE
Valley City, ND 58072
Phone
(701) 845-5114
Fax
(701) 845-1175
NPI assigned
Feb 2, 2021
Last updated
Feb 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Marcy R Svenningsen
Title
Finance Director
Phone
(701) 845-1124

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X NU
Private Vehicle 347C00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3731 117TH Ave SE
Valley City, ND 58072

Mailing address

129 3Rd Ave NE
Valley City, ND 58072-3057
Phone (701) 845-1124

Other identifiers 1

IdentifierTypeStateIssuer
1454612MedicaidND

National Provider Directory

National Provider Directory
Tax ID family
Open Door Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1588255459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 3RD AVE NE",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723057",
            "telephone_number": "701-845-1124",
            "fax_number": "701-845-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 117TH AVE SE",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "58072",
            "telephone_number": "701-845-5114",
            "fax_number": "701-845-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "SVENNINGSEN",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "701-845-1124"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454612",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley City, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.