Organization Active NPI

Openbliss Adult Residential LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hagerstown, MD
National Provider Identifier
1700692092
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
OPENBLISS ADULT RESIDENTIAL LLC
Practice address
11401 Rolling Green PL
Hagerstown, MD 21742-3165
Phone
(301) 256-1153
NPI assigned
Dec 10, 2024
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Oluwakemi S Akinrinbola, CRNP
Title
Pmhnp
Phone
(301) 256-1153

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

11401 Rolling Green PL
Hagerstown, MD 21742-3165

Mailing address

11401 Rolling Green PL
Hagerstown, MD 21742-3165
Phone (301) 256-1153

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1700692092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 ROLLING GREEN PL",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423165",
            "telephone_number": "301-256-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 ROLLING GREEN PL",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423165",
            "telephone_number": "301-256-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPENBLISS ADULT RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "AKINRINBOLA",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "301-256-1153",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.