Organization Active NPI

Open Door Healthcare Services, Inc

  • Home Health Agency
  • North Chelmsford, MA
National Provider Identifier
1710425400
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OPEN DOOR HEALTHCARE SERVICES, INC
Practice address
55 Mission Rd
North Chelmsford, MA 01863
Phone
(855) 237-6736
Fax
(855) 237-6736
NPI assigned
Feb 2, 2017
Last updated
Dec 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Authorized official

Name
Mrs. Nadege Jean-Francois, NPNPI 1619124682
Title
President / Executive Director
Phone
(617) 461-3058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

55 Mission Rd
North Chelmsford, MA 01863

Mailing address

55 Mission Rd
North Chelmsford, MA 01863
Phone (855) 237-6736

Other names 1

  • Open Door Healthcare Agency Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180521002603 MA Part A Provider - Home Health Agency 0648535708 Practice locations: North Chelmsford, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710425400. Details of each certification follow.

Home health agency certification: CCN 227740

Legal name
OPEN DOOR HEALTHCARE SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 12, 2020
Last certification
Dec 12, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 26, 2017 in MA
Enrollment address
55 Mission Rd
North Chelmsford, MA 01863-1103
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Open Door Healthcare Services IncCCN 227740 · All quality measures
Ownership
Proprietary
Certified
Dec 12, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2186181Open Door Healthcare Services, Inc55 Mission Rd, North Chelmsford, MA 01863Certificate of waiverJun 14, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nadege Jean-Francois Individual 5% Or Greater Direct Ownership Interest Jan 1, 2018 65%
Corporate DirectorExecutive Clinical Director Jan 1, 2018 65%
Nauly Jean-Francois Individual 5% Or Greater Direct Ownership Interest Jan 1, 2018 20%
Corporate OfficerDirector of Management Jan 1, 2018 20%
Operational/Managerial ControlDirector of Management Jan 1, 2018 20%
Justa K Raphino Individual 5% Or Greater Direct Ownership Interest Jan 1, 2018 15%
Corporate OfficerMarketing Director Jan 1, 2018 15%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1710425400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MISSION RD",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "01863",
            "telephone_number": "855-237-6736",
            "fax_number": "855-237-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MISSION RD",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "01863",
            "telephone_number": "855-237-6736",
            "fax_number": "855-237-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "JEAN-FRANCOIS",
        "authorized_official_first_name": "NADEGE",
        "authorized_official_title_or_position": "PRESIDENT / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-461-3058",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Door Healthcare Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.