Opportunity Community Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPPORTUNITY COMMUNITY SERVICES INC

Practice address

1399 Geneva Ave N Ste 201
Oakdale, MN 55128-5761

Phone

(651) 330-1559

Fax

(651) 666-2807

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Rose Nchang Kukwa

Title

President/Ceo

Phone

(651) 330-1559

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1396484820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 GENEVA AVE N STE 201",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285761",
            "telephone_number": "651-330-1559",
            "fax_number": "651-666-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 GENEVA AVE N STE 201",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285761",
            "telephone_number": "651-330-1559",
            "fax_number": "651-666-2807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1399 Geneva Ave N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "MN",
            "postal_code": "551285761",
            "country_code": "US",
            "telephone_number": "651-330-1559 x105",
            "fax_number": "651-666-2807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPPORTUNITY COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "KUKWA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "NCHANG",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "651-330-1559"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.