Organization Active NPI

Community Opportunities, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Somerset, KY
National Provider Identifier
1154470995
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Aug 30, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
33001058MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Community Opportunities Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.