Organization Active NPI

Partners in Opportunities, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • South Bend, IN
National Provider Identifier
1477643286
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
PARTNERS IN OPPORTUNITIES, INC.
Practice address
6101 Nimtz Pkwy
South Bend, IN 46628-6111
Phone
(574) 234-0754
Fax
(574) 289-0529
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Mr. Ballard Wireman
Title
President
Phone
(574) 234-0754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

6101 Nimtz Pkwy
South Bend, IN 46628-6111

Mailing address

6101 Nimtz Pkwy
South Bend, IN 46628-6111
Phone (574) 234-0754

Other identifiers 1

IdentifierTypeStateIssuer
200392490AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1477643286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 NIMTZ PKWY",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466286111",
            "telephone_number": "574-234-0754",
            "fax_number": "574-289-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 NIMTZ PKWY",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466286111",
            "telephone_number": "574-234-0754",
            "fax_number": "574-289-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN OPPORTUNITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "WIREMAN",
        "authorized_official_first_name": "BALLARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-234-0754",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200392490A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.