Provider Demographics
NPI:1710425400
Name:OPEN DOOR HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:OPEN DOOR HEALTHCARE SERVICES, INC
Other - Org Name:OPEN DOOR HEALTHCARE AGENCY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT / EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NADEGE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-FRANCOIS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:617-461-3058
Mailing Address - Street 1:55 MISSION RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863
Mailing Address - Country:US
Mailing Address - Phone:855-237-6736
Mailing Address - Fax:855-237-6736
Practice Address - Street 1:55 MISSION RD
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863
Practice Address - Country:US
Practice Address - Phone:855-237-6736
Practice Address - Fax:855-237-6736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health