Provider Demographics
NPI:1770275844
Name:OPPORTUNE ACRES
Entity type:Organization
Organization Name:OPPORTUNE ACRES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:VALENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, ATP
Authorized Official - Phone:402-984-6256
Mailing Address - Street 1:1805 E 26 RD
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:NE
Mailing Address - Zip Code:68854-4111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1805 E 26 RD
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:NE
Practice Address - Zip Code:68854-4111
Practice Address - Country:US
Practice Address - Phone:402-984-6256
Practice Address - Fax:402-267-9400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10027648300Medicaid