Opportunity Village Association for Retarded Citizens

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

OPPORTUNITY VILLAGE ASSOCIATION FOR RETARDED CITIZENS

Practice address

6300 West Oakley
Las Vegas, NV 89146-1122

Phone

(702) 262-1572

Fax

(702) 259-3734

NPI assigned

May 20, 2014

Last updated

Jul 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Mathew Brown

Title

Chief Executive Officer

Phone

(702) 259-3707

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Opportunity Village3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Opportunity Village

  • Respite Care
  • Las Vegas, NV
  • NPI 1467815258
  NPD tax ID
• Opportunity Village

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1629720115
  NPD tax ID

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1437561826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 SOUTH BUFFALO",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132154",
            "telephone_number": "702-259-3707",
            "fax_number": "702-258-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEST OAKLEY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461122",
            "telephone_number": "702-262-1572",
            "fax_number": "702-259-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITY VILLAGE ASSOCIATION FOR RETARDED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "702-259-3707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "API",
            "identifier": "9005036957",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Brando Opimo
• Katryne Tornato Opiniano
• Kwame Aidoo Opoku, RPH
• Opportunity Village
• Opportunity Village
• Optic Gallery (Dr Youngs office)
• Optic Gallery Aliante Inc
• Optic Gallery Arroyo LLC
• Optic Gallery Blue Diamond Inc (Optic Gallery)
• Optic Gallery Centennial Hills Inc.

• Licensed Practical Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Licensed Practical Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.