NPIMap

Organization Active NPI

Opportunity Living

  • Intellectual Disabilities Intermediate Care Facility
  • Lake City, IA
National Provider Identifier
1164590642
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
IMR608 Issued in IA
Legal business name
OPPORTUNITY LIVING
Practice address
1890 E Main St
Lake City, IA 51449-7706
Phone
(712) 464-8961
Fax
(712) 464-3320
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jill Westcott
Title
Financial Officer
Phone
(712) 464-8961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X IMR608 IA Primary

Addresses

Primary practice location

1890 E Main St
Lake City, IA 51449-7706

Mailing address

1890 E Main St
Lake City, IA 51449-7706
Phone (712) 464-8961

Other identifiers 1

IdentifierTypeStateIssuer
0880534MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Opportunity Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164590642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 E MAIN ST",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514497706",
            "telephone_number": "712-464-8961",
            "fax_number": "712-464-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 E MAIN ST",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514497706",
            "telephone_number": "712-464-8961",
            "fax_number": "712-464-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTCOTT",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "712-464-8961"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IA",
            "license": "IMR608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880534",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.