Provider Demographics
NPI:1154119840
Name:OPULENT LLC
Entity type:Organization
Organization Name:OPULENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKWETEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-210-9349
Mailing Address - Street 1:143 N RIVERVIEW DR APT 308
Mailing Address - Street 2:
Mailing Address - City:PARCHMENT
Mailing Address - State:MI
Mailing Address - Zip Code:49004-1350
Mailing Address - Country:US
Mailing Address - Phone:269-210-9349
Mailing Address - Fax:
Practice Address - Street 1:143 N RIVERVIEW DR APT 308
Practice Address - Street 2:
Practice Address - City:PARCHMENT
Practice Address - State:MI
Practice Address - Zip Code:49004-1350
Practice Address - Country:US
Practice Address - Phone:269-210-9349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care