Provider Demographics
NPI:1235304767
Name:OPPORTUNITY PARTNERS INC.
Entity Type:Organization
Organization Name:OPPORTUNITY PARTNERS INC.
Other - Org Name:LAVINE PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMACHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-912-7464
Mailing Address - Street 1:5500 OPPORTUNITY CT
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-9020
Mailing Address - Country:US
Mailing Address - Phone:952-938-5511
Mailing Address - Fax:
Practice Address - Street 1:11754 191ST AVENUE NORTHWEST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-2038
Practice Address - Country:US
Practice Address - Phone:612-831-4155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPPORTUNITY PARTNERS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-25
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN804044320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities