Active NPI
Ideal Opportunities LLC
- Community/Behavioral Health Agency
- El Paso, TX
National Provider Identifier
1407500564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- IDEAL OPPORTUNITIES LLC
- Practice address
- 6600 Montana Ave Ste P
El Paso, TX 79925-2149 - Phone
- (915) 671-1371
- NPI assigned
- Feb 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philippe Petrus
- Title
- Co-Owner
- Phone
- (915) 671-1371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
6600 Montana Ave Ste P
El Paso, TX 79925-2149
Mailing address
1605 George Dieter Dr Ste 636
El Paso, TX 79936-5692
Phone (915) 671-1371
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719187200000",
"number": "1407500564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 GEORGE DIETER DR STE 636",
"city": "EL PASO",
"state": "TX",
"postal_code": "799365692",
"telephone_number": "915-671-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 MONTANA AVE STE P",
"city": "EL PASO",
"state": "TX",
"postal_code": "799252149",
"telephone_number": "915-671-1371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDEAL OPPORTUNITIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-08",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A",
"authorized_official_last_name": "PETRUS",
"authorized_official_first_name": "PHILIPPE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "915-671-1371"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.