Healthcare Provider Details

I. General information

NPI: 1700403045
Provider Name (Legal Business Name): OPENDOORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2020
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 PLAINFIELD ST
PROVIDENCE RI
02909-4459
US

IV. Provider business mailing address

485 PLAINFIELD ST
PROVIDENCE RI
02909-4459
US

V. Phone/Fax

Practice location:
  • Phone: 401-781-5808
  • Fax:
Mailing address:
  • Phone: 401-781-5808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: PATRICK WESTFALL
Title or Position: CO-EXECUTIVE DIRECTOR
Credential:
Phone: 401-214-1818