Provider Demographics
NPI:1659683571
Name:OPEN MY WORLD THERAPEUTIC RIDING CENTER
Entity Type:Organization
Organization Name:OPEN MY WORLD THERAPEUTIC RIDING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MA SPECIAL EDUCATION
Authorized Official - Phone:512-259-6665
Mailing Address - Street 1:1020 COUNTY ROAD 270
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-1351
Mailing Address - Country:US
Mailing Address - Phone:512-259-6665
Mailing Address - Fax:
Practice Address - Street 1:1020 COUNTY ROAD 270
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-1351
Practice Address - Country:US
Practice Address - Phone:512-259-6665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74653174400000X, 222Q00000X
TX9385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty