Provider Demographics
NPI:1023894813
Name:THE OPEN DOOR NETWORK
Entity type:Organization
Organization Name:THE OPEN DOOR NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKIDMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-330-2953
Mailing Address - Street 1:1921 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4209
Mailing Address - Country:US
Mailing Address - Phone:661-322-0931
Mailing Address - Fax:
Practice Address - Street 1:1921 19TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4209
Practice Address - Country:US
Practice Address - Phone:661-322-0931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No332U00000XSuppliersHome Delivered Meals
No385H00000XRespite Care FacilityRespite Care