NPIMap

Organization Active NPI

Opportunities Unlimited

  • Intellectual Disabilities Intermediate Care Facility
  • Sioux City, IA
National Provider Identifier
1245371822
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
0881078 Issued in IA
Legal business name
OPPORTUNITIES UNLIMITED
Practice address
3536 Glen Oaks Blvd
Sioux City, IA 51104-1545
Phone
(712) 277-8295
Fax
(712) 277-8602
NPI assigned
Feb 8, 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
Intellectual Disabilities Intermediate Care Facility 315P00000X 0881078 IA Primary

Addresses

Primary practice location

3536 Glen Oaks Blvd
Sioux City, IA 51104-1545

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0881078MedicaidIA

Other names 1

  • Woodridge Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 16G097

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WOODRIDGE HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
May 27, 1994
Last certification
Apr 3, 2025
Beds
4
Ownership / control type
Private (non-profit)
Facility address
3536 Glen Oak Boulevard
Sioux City, IA 51104

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245371822",
    "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": "3536 GLEN OAKS BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041545",
            "telephone_number": "712-277-8295",
            "fax_number": "712-277-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITIES UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "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": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IA",
            "license": "0881078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0881078",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodridge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.