OPEN DOORS FOR THE DEVELOPMENTALLY CHALLENGED, INC. (NPI# 1508907338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508907338 |
Entity Type | Organization |
Organization Name | OPEN DOORS FOR THE DEVELOPMENTALLY CHALLENGED, INC. |
Practice Address |
211 E Washington St Lewisburg WV 24901-1423 |
Practice Telephone | 3046452130 |
Practice Fax Number | 3046479943 |
Mailing Telephone | 3046452130 |
Mailing Fax Number | 3046479943 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2008-02-25 |
Authorized Official Name | MS. AMBER L HINKLE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3046452130 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
WV | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0005236000 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548439300 | Open Doors for The Developmentally Challenged, Inc. | Community/Behavioral Health | 211 E Washington St, Lewisburg, WV 24901-1423 | 2008-02-26 |
1538338397 | Open Doors for The Developmentally Challenged, Inc. | Clinic/Center | 211 E Washington St, Lewisburg, WV 24901-1423 | 2008-02-26 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | OPEN DOORS FOR THE DEVELOPMENTALLY CHALLENGED, INC. | 1108 Washington St E, Lewisburg, WV 24901-2523 |
Street Address |
211 E WASHINGTON ST |
City | LEWISBURG |
State | WV |
Zip Code | 24901-1423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548439300 | Open Doors for The Developmentally Challenged, Inc. | Community/Behavioral Health | 211 E Washington St, Lewisburg, WV 24901-1423 | 2008-02-26 |
1538338397 | Open Doors for The Developmentally Challenged, Inc. | Clinic/Center | 211 E Washington St, Lewisburg, WV 24901-1423 | 2008-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
Find all providers in zip 24901 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
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1467518902 | Rescare | Clinic/Center | 1207 Quarrier St, Suite 304, Charleston, WV 25301-1826 | 2006-12-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.