Organization Active NPI

Opportunity of North Central Wisconsin, Inc.

Doing business as Opportunity Inc.

  • Nurse's Aide
  • Wausau, WI
National Provider Identifier
1366980724
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
8018163 Issued in WI
Legal business name
OPPORTUNITY OF NORTH CENTRAL WISCONSIN, INC.
Doing business as
Opportunity Inc.
Practice address
1707 E Wausau Ave
Wausau, WI 54403-3137
Phone
(715) 847-1175
Fax
(715) 849-3949
NPI assigned
Feb 6, 2017
Last updated
Feb 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Mr. Rodney C Gumz
Title
Finance Manager
Phone
(715) 842-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X 8018163 WI Primary

Addresses

Primary practice location

1707 E Wausau Ave
Wausau, WI 54403-3137

Mailing address

740 N 3Rd St
Wausau, WI 54403-4784
Phone (715) 842-8700

Other names 1

  • Opportunity Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Opportunity of North Central Wisconsin 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

1707 E Wausau Ave
Wausau, WI 54403
Phone (715) 847-1175

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1366980724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 N 3RD ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034784",
            "telephone_number": "715-842-8700",
            "fax_number": "715-842-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E WAUSAU AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033137",
            "telephone_number": "715-847-1175",
            "fax_number": "715-849-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITY OF NORTH CENTRAL WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "GUMZ",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "715-842-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "WI",
            "license": "8018163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opportunity Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.