Opportunity Development Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

OPPORTUNITY DEVELOPMENT INC

Practice address

2709 Art Museum Dr
Jacksonville, FL 32207-5023

Phone

(904) 399-8484

Fax

(904) 396-0859

NPI assigned

Apr 25, 2012

Organization subpart

No

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

Authorized official

Name

Margarita Nereida Hunnefield

Title

Director of Consumer Services

Phone

(904) 399-8484

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CIL Jacksonville Doing business as

Locations

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1407114614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 ART MUSEUM DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075036",
            "telephone_number": "904-399-8484",
            "fax_number": "904-396-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 ART MUSEUM DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075023",
            "telephone_number": "904-399-8484",
            "fax_number": "904-396-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITY DEVELOPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "HUNNEFIELD",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_middle_name": "NEREIDA",
        "authorized_official_title_or_position": "DIRECTOR OF CONSUMER SERVICES",
        "authorized_official_telephone_number": "904-399-8484"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002133700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIL Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.