Active NPI
Openbliss Adult Residential LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Hagerstown, MD
National Provider Identifier
1700692092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Lorraine Oneill, PT
- Azuka Onye, D.O.
- Janevine N Onyeanuna, FNP, PMH-NP, DNP
- Opal Court Pediatrics, P.a.
- Opal Medical Group, P.a.
- Openbliss Mental Health Services
- Optimal Case Management
- Optimal Health Care Inc (OHCInc - DME)
- Optimal Health Care Inc
- Oral and Facial Surgery DRS. Kramer and Koterewas, PA (Oral and Facial Surgery)
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.