Provider Demographics
NPI:1235789629
Name:OPPORTUNITY SUPPORT, INC
Entity type:Organization
Organization Name:OPPORTUNITY SUPPORT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:O
Authorized Official - Middle Name:
Authorized Official - Last Name:S
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-639-2831
Mailing Address - Street 1:15200 E GIRARD AVE STE 3250
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3988
Mailing Address - Country:US
Mailing Address - Phone:720-639-2831
Mailing Address - Fax:
Practice Address - Street 1:15200 E GIRARD AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3988
Practice Address - Country:US
Practice Address - Phone:720-639-2831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care