Active NPI
Open House LLC
- Clinical Social Worker
- Las Vegas, NM
National Provider Identifier
1831275536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-4116
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000G1676 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI 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.