Organization Active NPI

Open House LLC

  • Clinical Social Worker
  • Las Vegas, NM
National Provider Identifier
1831275536
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-4116 Issued in NM
Legal business name
OPEN HOUSE LLC
Practice address
1119 Douglas Ave
Las Vegas, NM 87701-3932
Phone
(505) 718-6930
Fax
(505) 454-3803
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Deborah A. Reumann, LISW
Title
Managing Director
Phone
(505) 718-6930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I-4116 NM Primary

Addresses

Primary practice location

1119 Douglas Ave
Las Vegas, NM 87701-3932

Mailing address

1119 Douglas Ave
Las Vegas, NM 87701-3932
Phone (505) 718-6930

Other identifiers 1

IdentifierTypeStateIssuer
000G1676MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1831275536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 DOUGLAS AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013932",
            "telephone_number": "505-718-6930",
            "fax_number": "505-454-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 DOUGLAS AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013932",
            "telephone_number": "505-718-6930",
            "fax_number": "505-454-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "REUMANN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "505-718-6930",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-4116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G1676",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.