=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619001278
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OPPORTUNITY PARTNERS INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/15/2007
-----------------------------------------------------
Last Update Date | 03/28/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11754 191ST AVENUE NORTHWEST
-----------------------------------------------------
City | ELK RIVER
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55330-2633
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 763-441-6514
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5500 OPPORTUNITY CT
-----------------------------------------------------
City | MINNETONKA
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55343-9020
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 952-938-5511
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDEN & CEO
-----------------------------------------------------
Name | MR. ARMANDO CAMACHO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 952-912-7464
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number | 804220
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------