OPEN DOOR FAMILY CARE HOME – NPI #1710384615
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

OPEN DOOR FAMILY CARE HOME is a residential treatment facility located in FAYETTEVILLE, NC. NPPES has assigned the NPI number 1710384615 to OPEN DOOR FAMILY CARE HOME on November 21, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OPEN DOOR FAMILY CARE HOME below.

NPI Profile for
OPEN DOOR FAMILY CARE HOME

NPI Number
1710384615
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OPEN DOOR FAMILY CARE HOME
Primary location
4850 OLD SAVANNAH CHURCH RD
FAYETTEVILLE, NC 28301
Phone: (910) 354-7743 Fax:
Mailing address
6853 FERNCREEK PL
FAYETTEVILLE, NC 28314-5322
Phone: (910) 354-7743 Fax:
Organization Subpart
No
Authorized Official
CYNTHIA MARSHALL
ADMINISTRATOR
Phone: (910) 354-7743
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.