Open Door Group Home#, Incorporated

LBN: Open Door Group Home#, Incorporated
Open Door Group Home#, Incorporated is an health care organization with primary practice located at 140 Shady Grove Rd , Kings Mountain NC 28086-9669. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Open Door Group Home#, Incorporated can be contacted via phone (704) 739-6650, or through Gravely, Betty Ann via phone (704) 739-6650.

Contact Information

Primary practice address
140 Shady Grove Rd Kings Mountain NC 28086-9669
Phone: (704) 739-6650
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gravely, Betty Ann MAEDU
Phone: (704) 739-6650

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL036249 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL036249 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X MHL036249 North Carolina

Profile Details

NPI number 1184803686
LBN Legal business name Open Door Group Home#, Incorporated
DBA Doing business as
Authorized official Gravely, Betty Ann MAEDU
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2007
Last updated Oct 31st, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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