NPIMap

Organization Active NPI

Opportunities Unlimited

  • Child Mental Illness Respite Care
  • Sioux City, IA
National Provider Identifier
1225169170
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
License
0162727 Issued in IA
Legal business name
OPPORTUNITIES UNLIMITED
Practice address
3439 Glen Oaks Blvd
Sioux City, IA 51104-1761
Phone
(712) 277-8295
Fax
(712) 277-8602
NPI assigned
Mar 9, 2007
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
Mr. Michael J. Bride
Title
Chief Financial Officer
Phone
(712) 277-8295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Mental Illness Respite Care 385HR2055X 0162727 IA Primary

Addresses

Primary practice location

3439 Glen Oaks Blvd
Sioux City, IA 51104-1761

Mailing address

3439 Glen Oaks Blvd
Sioux City, IA 51104-1761
Phone (712) 277-8295

Other identifiers 1

IdentifierTypeStateIssuer
0162727MedicaidIA

Other names 1

  • Waiver Department Other name

National Provider Directory

National Provider Directory
Tax ID family
Opportunities Unlimited11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225169170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 GLEN OAKS BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041761",
            "telephone_number": "712-277-8295",
            "fax_number": "712-277-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 GLEN OAKS BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041761",
            "telephone_number": "712-277-8295",
            "fax_number": "712-277-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITIES UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIDE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "712-277-8295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "IA",
            "license": "0162727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162727",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waiver Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sioux 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.