NPIMap

Organization Active NPI

Open Doors Therapeutic Home LLC

  • Psychiatric Residential Treatment Facility
  • Maricopa, AZ
National Provider Identifier
1952173817
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
OPEN DOORS THERAPEUTIC HOME LLC
Practice address
38212 W Santa Barbara Ave
Maricopa, AZ 85138-5302
Phone
(602) 364-9925
NPI assigned
Oct 24, 2023
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Chidinma Grace SalakoNPI 1497267876
Title
Administration
Phone
(480) 749-8176

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

38212 W Santa Barbara Ave
Maricopa, AZ 85138-5302

Mailing address

38212 W Santa Barbara Ave
Maricopa, AZ 85138-5302
Phone (602) 364-9925

Other names 1

  • Heart Of GoldSenior Homecare LLC Former legal business name

National Provider Directory

National Provider Directory

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": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1952173817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38212 W SANTA BARBARA AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385302",
            "telephone_number": "602-364-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38212 W SANTA BARBARA AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385302",
            "telephone_number": "602-364-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOORS THERAPEUTIC HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "SALAKO",
        "authorized_official_first_name": "CHIDINMA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "480-749-8176"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Of GoldSenior Homecare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Heart Of GoldSenior Homecare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.