OPEN DOOR GROUP HOME# INCORPORATED NPI 1184803686

NPI Information

  • NPI: 1184803686
  • Provider Name: OPEN DOOR GROUP HOME#, INCORPORATED
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 140 SHADY GROVE RD
    KINGS MOUNTAIN, NC
    ZIP 28086
  • Phone: (704) 739-6650

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NPI Details

OPEN DOOR GROUP HOME#, INCORPORATED is a residential treatment facility, intellectual and/or developmental disabilities in Kings Mountain, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. OPEN DOOR GROUP HOME#, INCORPORATED NPI is 1184803686. The provider is registered as an organization entity type.

The provider's business location address is:

140 SHADY GROVE RD
KINGS MOUNTAIN, NC
ZIP 28086-669
Phone: (704) 739-6650

The provider's authorized official is Betty Ann Gravely .
The authorized official title is Owner/director and has the following contact phone number (704) 739-6650.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 10/31/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessMHL036249NORTH CAROLINANo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL036249NORTH CAROLINANo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL036249NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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