OrganizationActive
Optiovillage, Inc
NPI 1184002784 · Community/Behavioral Health Agency · Anoka, MN
Optiovillage, Inc is a Community/Behavioral Health Agency organization in Anoka, MN (NPI 1184002784).
Provider details
- NPI number
- 1184002784
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Trenton Peterson, Clinical Director(763) 712-1903
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
630 E Main St
Anoka, MN 55303-2527
Phone: (763) 712-1903
Fax: (763) 712-1917
Street-level locationGet directions
Mailing address
630 East Main St.
Anoka, MN 55303
Registry dates
- Enumerated
- 2015-05-14
- Last updated
- 2015-05-14
Frequently asked questions
- What is Optiovillage, Inc's NPI number?
- Optiovillage, Inc's National Provider Identifier (NPI) is 1184002784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optiovillage, Inc?
- Optiovillage, Inc is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Optiovillage, Inc located?
- Optiovillage, Inc's practice location on file with NPPES is 630 E Main St, Anoka, MN 55303-2527.
- What is Optiovillage, Inc's phone number?
- The practice phone number listed in the NPPES registry for Optiovillage, Inc is (763) 712-1903.
- Who is the authorized official for Optiovillage, Inc?
- The authorized official listed on Optiovillage, Inc's NPPES record is Trenton Peterson, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optiovillage, Inc's NPI active?
- Yes — Optiovillage, Inc's NPI (1184002784) is active in the NPPES registry as of the last update on 2015-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.