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OPEN DOOR GROUP HOME#, INCORPORATED
NPI 1184803686
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kings Mountain, NC

Active since October 31, 2007
140 SHADY GROVE RD, KINGS MOUNTAIN, NC 28086(704) 739-6650 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Open Door Group Home#, Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPEN DOOR GROUP HOME#, INCORPORATED (NPI 1184803686) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Kings Mountain, North Carolina and active in the NPI registry since October 2007. The organization lists Betty Ann Gravely, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1184803686
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameOPEN DOOR GROUP HOME#, INCORPORATED
Location Address140 SHADY GROVE RDKings Mountain, NC 28086-9669
Mailing Address140 Shady Grove RdKings Mountain, NC 28086-9669 · (704) 739-6650
Phone(704) 739-6650
Organization SubpartNo
Authorized OfficialBetty Ann GravelyOwner/director · (704) 739-6650
Enumeration DateOctober 31, 2007
✔ NPI 1184803686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · MHL036249
Definition
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.
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X · License MHL036249 (NC)
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License MHL036249 (NC)
140 SHADY GROVE RD, Kings Mountain, NC 28086
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Open Door Group Home#, Incorporated's NPI number?

The NPI number for Open Door Group Home#, Incorporated is 1184803686. It was assigned to this organization in the NPPES registry on October 31, 2007.

Where is Open Door Group Home#, Incorporated located?

Open Door Group Home#, Incorporated is located at 140 Shady Grove Rd, Kings Mountain, NC 28086. The listed phone number is (704) 739-6650.

What is Open Door Group Home#, Incorporated's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Open Door Group Home#, Incorporated was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.