Active NPI
Community Opportunities, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Somerset, KY
National Provider Identifier
1154470995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- COMMUNITY OPPORTUNITIES, INC.
- Practice address
- 325 Clifty St
Somerset, KY 42501-1666 - Phone
- (606) 679-9009
- Fax
- (606) 678-9883
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Janice A Clark, LPCC, MASTERS
- Title
- Executive Director
- Phone
- (606) 679-9009
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | 140341 | KY | |
| Multi-Specialty Clinic/Center | 261QM1300X | 720397 | KY | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
325 Clifty St
Somerset, KY 42501-1666
Mailing address
325 Clifty St
Somerset, KY 42501-1666
Phone (606) 679-9009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33001058 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- Community Opportunities Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Somerset, KY
- NPI 1629242151
Locations
325 Clifty St
Somerset, KY 42501
Phone (606) 679-9009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472515200000",
"number": "1154470995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 CLIFTY ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425011666",
"telephone_number": "606-679-9009",
"fax_number": "606-678-9883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 CLIFTY ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425011666",
"telephone_number": "606-679-9009",
"fax_number": "606-678-9883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY OPPORTUNITIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2016-08-30",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "606-679-9009",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPCC, MASTERS"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "KY",
"license": "140341",
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "KY",
"license": "720397",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33001058",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.