Lavine Place – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1235304767

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Lavine Place is a healthcare provider. based in Minnetonka, Minnesota. specializing in Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. The organization holds a License No. 804044 (MN). The NPI Number for Lavine Place is 1235304767

Main info

Organization
Name
Lavine Place
NPI
1235304767
Phone
(952) 938-5511
Address
5500 OPPORTUNITY CT
Authorized Official
MR. ARMANDO CAMACHO PRESIDENT & CEO
Enumeration Date
25 April 2008
Last Update Date
28 March 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Lavine Place

  • 5500, Opportunity Court, Minnetonka, Hennepin County, Minnesota, 55343, United States

    MINNETONKA, MN 553439020

    Phone: (952) 938-5511

    Type: Mailing

  • 11754 191ST AVENUE NORTHWEST

    BLOOMINGTON, MN 554372038

    Phone: (612) 831-4155

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55343)

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Reviews

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Frequently asked questions

What is the registry number for Lavine Place?
The registry entry for Lavine Place shows NPI 1235304767.
Is Lavine Place currently accepting referrals based on NPI status?
Registry metadata lists Lavine Place as active.
How should patients interpret Lavine Place's specialty?
The extract shows Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility for Lavine Place. Clinical services aligned with this taxonomy classification.
Is Lavine Place tied to Minnetonka, Minnesota?
If you are local to Minnetonka, Minnesota, Lavine Place may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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