Provider Demographics
NPI:1215808464
Name:OPENPALMS HEALTHCARE LLC
Entity type:Organization
Organization Name:OPENPALMS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUFUNMILAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:ADESANLU
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:973-914-3310
Mailing Address - Street 1:15 RECTOR AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-3325
Mailing Address - Country:US
Mailing Address - Phone:973-914-3310
Mailing Address - Fax:
Practice Address - Street 1:367 BERRY ST STE 104
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-3341
Practice Address - Country:US
Practice Address - Phone:646-480-1244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities