Active NPI
Open Door Family Care Home
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Fayetteville, NC
National Provider Identifier
1710384615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- OPEN DOOR FAMILY CARE HOME
- Practice address
- 4850 Old Savannah Church Rd
Fayetteville, NC 28301 - Phone
- (910) 354-7743
- NPI assigned
- Nov 21, 2014
- 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
- Cynthia Marshall
- Title
- Administrator
- Phone
- (910) 354-7743
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
4850 Old Savannah Church Rd
Fayetteville, NC 28301
Mailing address
6853 Ferncreek PL
Fayetteville, NC 28314-5322
Phone (910) 354-7743
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416528000000",
"number": "1710384615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6853 FERNCREEK PL",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283145322",
"telephone_number": "910-354-7743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 OLD SAVANNAH CHURCH RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28301",
"telephone_number": "910-354-7743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN DOOR FAMILY CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "910-354-7743"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.