Open Doors RCH/Adcc/LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

132286 Issued in TX

Legal business name

OPEN DOORS RCH/ADCC/LLC

Practice address

501 N College St
Waxahachie, TX 75165-3361

Phone

(972) 217-2095

Fax

(972) 923-0907

NPI assigned

Sep 9, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Willie Mahoney Goodwin, LVN

Title

Administrator

Phone

(972) 217-2095

Specialties & licenses 1

Addresses

Other names 1

• Open Doors Adult Day Care Center Doing business as

Locations

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1972885572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N COLLEGE ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653361",
            "telephone_number": "972-217-2095",
            "fax_number": "972-923-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N COLLEGE ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653361",
            "telephone_number": "972-217-2095",
            "fax_number": "972-923-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOORS RCH/ADCC/LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "MAHONEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-217-2095",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "132286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Doors Adult Day Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Eva Olan-Rogers
• Jennifer Oliver, M.S., CCC/SLP
• Olabisi Tokunbo Omehe
• Stephanie Omotayo, DNP
• Onyx Hill Company, LLC
• Orthotx, PLLC
• Charles Ray Osborn, M.D. D.C.
• Marisarose Osborn, LVN
• Damilola O Osibamowo
• Adam Ali Ahmed Osman, MD

• Adult Care Home Facility in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.