NPIMap

Organization Active NPI

Opportunity Homes, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Lisbon, OH
National Provider Identifier
1851371413
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
36G133 Issued in OH
Legal business name
OPPORTUNITY HOMES, INC.
Practice address
7891 State Route 45
Lisbon, OH 44432-9396
Phone
(330) 424-1411
Fax
(330) 424-1483
NPI assigned
Jan 19, 2006
Last updated
Nov 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Mr. James F. King
Title
Executive Director
Phone
(330) 424-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 36G133 OH Primary

Addresses

Primary practice location

7891 State Route 45
Lisbon, OH 44432-9396

Mailing address

7891 State Route 45
PO Box 327
Lisbon, OH 44432-9396
Phone (330) 424-1411

Medicare participation

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851371413. Details of each certification follow.

  • CCN 36G133 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G133

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
OPPORTUNITY HOMES INC
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 3, 1982
Last certification
Jan 26, 2024
Beds
14
Ownership / control type
Private (non-profit)
Facility address
7891 State Route 45
Lisbon, OH 44432

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0341344Opportunity Homes Inc7891 State RT 45, Lisbon, OH 44432Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
New Opportunity2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1851371413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 STATE ROUTE 45",
            "address_2": "PO BOX 327",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329396",
            "telephone_number": "330-424-1411",
            "fax_number": "330-424-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7891 STATE ROUTE 45",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329396",
            "telephone_number": "330-424-1411",
            "fax_number": "330-424-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITY HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-424-1411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "36G133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, OH

Sources for this page

Verify at the official NPI Registry.