Organization Active NPI

Open Minded Developmental Home Care Inc

  • In Home Supportive Care Agency
  • Rocky Mount, NC
National Provider Identifier
1649048463
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPEN MINDED DEVELOPMENTAL HOME CARE INC
Practice address
2803 Sunset Ave
Rocky Mount, NC 27804-3644
Phone
(252) 446-1411
Fax
(252) 446-3351
NPI assigned
Dec 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Sandra Bryant
Title
Director
Phone
(252) 450-9086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2803 Sunset Ave
Rocky Mount, NC 27804-3644

Mailing address

2803 Sunset Ave
Rocky Mount, NC 27804-3644
Phone (252) 450-9086

National Provider Directory

National Provider Directory
Tax ID family
Open Minded Developmental Home Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2803 Sunset Ave
Rocky Mount, NC 27804
Phone (252) 446-1411

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1649048463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 SUNSET AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043644",
            "telephone_number": "252-450-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 SUNSET AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043644",
            "telephone_number": "252-446-1411",
            "fax_number": "252-446-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MINDED DEVELOPMENTAL HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-450-9086"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.