Opportunity Manor Inc

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

801815-3-RS Issued in MN

Legal business name

OPPORTUNITY MANOR INC

Practice address

1311 13TH Ave SE
Saint Cloud, MN 56304-1913

Phone

(320) 255-0135

Fax

(320) 240-8527

NPI assigned

May 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Regan Stommes

Title

Director of Operations

Phone

(320) 240-1900

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316155237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 KRUCHTEN CT S",
            "address_2": "PO BOX 280",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774645",
            "telephone_number": "320-240-1900",
            "fax_number": "320-240-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 13TH AVE SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563041913",
            "telephone_number": "320-255-0135",
            "fax_number": "320-240-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITY MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOMMES",
        "authorized_official_first_name": "REGAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "320-240-1900"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "MN",
            "license": "801815-3-RS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Opatz, OTR
• Diane Dockendorf Opatz, LICSW
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• Natasha Orbeck O'Connor, RN
• Maria Orbeck
• Aleisha Orcutt
• Autumn Orcutt

• Mental Illness Intermediate Care Facility in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Mental Illness Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.