OPPORTUNITY LIVING (NPI# 1164590642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164590642 |
| Entity Type | Organization |
| Organization Name | OPPORTUNITY LIVING |
| Practice Address |
1890 E Main St Lake City IA 51449-7706 |
| Practice Telephone | 7124648961 |
| Practice Fax Number | 7124643320 |
| Mailing Telephone | 7124648961 |
| Mailing Fax Number | 7124643320 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JILL WESTCOTT (FINANCIAL OFFICER) |
| Authorized Official Telephone | 7124648961 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | IMR608 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0880534 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508933078 | Opportunity Living | Intermediate Care Facility, Mentally Retarded | 1890 E Main St, Lake City, IA 51449-7706 | 2006-11-29 |
| 1497881221 | Opportunity Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1890 E Main St, Lake City, IA 51449-7706 | 2007-02-26 |
| 1740358589 | Opportunity Living | Intermediate Care Facility, Mentally Retarded | 1890 E Main St, Lake City, IA 51449-7706 | 2006-12-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OPPORTUNITY LIVING | 1890 E Main St, Lake City, IA 51449-7706 |
| Iowa Business Entities | OPPORTUNITY LIVING | 1890 E. Main, Lake City, IA 51449 |
| Street Address |
1890 E MAIN ST |
| City | LAKE CITY |
| State | IA |
| Zip Code | 51449-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508933078 | Opportunity Living | Intermediate Care Facility, Mentally Retarded | 1890 E Main St, Lake City, IA 51449-7706 | 2006-11-29 |
| 1588926448 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1890 E Main St, Lake City, IA 51449-7706 | 2012-06-15 |
| 1497881221 | Opportunity Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1890 E Main St, Lake City, IA 51449-7706 | 2007-02-26 |
| 1740358589 | Opportunity Living | Intermediate Care Facility, Mentally Retarded | 1890 E Main St, Lake City, IA 51449-7706 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184719767 | Harris Drug, Inc. | Pharmacy | 121 East Main St., Lake City, IA 51449 | 2006-10-03 |
| 1427168749 | David Joseph Verbik | Dentist | 1331 West Main Street, Lake City, IA 51449 | 2006-08-30 |
| 1760921951 | Jeremie Lee Kent | Driver | 1115 W Main St, Lake City, IA 51449 | 2017-02-21 |
| 1811025984 | Cynthia Joan Grear | Pharmacist | 121 W. Main Street, Lake City, IA 51449 | 2007-03-01 |
| 1669521027 | Rock Vision Clinic PC | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-08 |
| 1770634677 | Craig Steven Rock | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-16 |
| 1285784280 | Jonathan Paul Judisch | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-11 |
| 1912141946 | Charles Smith Loeck | Dentist | 1100 N Douglas St, Lake City, IA 51449-1111 | 2009-04-21 |
| 1932357944 | Southern Cal Community School District | Local Education Agency (LEA) | 709 W Main St, Lake City, IA 51449-1500 | 2008-09-03 |
| 1255601811 | Cesar A. Cardenas | Surgery | 1400 W Main St, Lake City, IA 51449-1577 | 2012-01-12 |
| Find all providers in zip 51449 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467520635 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 930 Sw Spring Ln, Lake City, FL 32025-5082 | 2006-12-04 |
| 1437227097 | Rescare, Inc | Intermediate Care Facility, Mentally Retarded | 673 Nw Cluster Dr, Lake City, FL 32055-2534 | 2006-12-01 |
| 1508933078 | Opportunity Living | Intermediate Care Facility, Mentally Retarded | 1890 E Main St, Lake City, IA 51449-7706 | 2006-11-29 |
| 1457786386 | Salem Homes of Florida, Inc. | Intermediate Care Facility, Mentally Retarded | 930 Sw Spring Ln, Lake City, FL 32025-5082 | 2013-09-11 |
| 1073785911 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 1403 Spring St, Lake City, FL 32024 | 2008-04-01 |
| 1740358589 | Opportunity Living | Intermediate Care Facility, Mentally Retarded | 1890 E Main St, Lake City, IA 51449-7706 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1952767162 | G & G Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 602 Kosciusko St., Guttenberg, IA 52052-0967 | 2016-01-05 |
| 1487920351 | Mosaic | Intermediate Care Facility, Mentally Retarded | 835 S 7th St, Forest City, IA 50436-2127 | 2012-03-26 |
| 1306112271 | Mosaic | Intermediate Care Facility, Mentally Retarded | 102 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1710253687 | Mosaic | Intermediate Care Facility, Mentally Retarded | 105 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1831465715 | Mosaic | Intermediate Care Facility, Mentally Retarded | 315 Country Club Dr, Belmond, IA 50421-1740 | 2012-03-26 |
| 1851666820 | Mosaic | Intermediate Care Facility, Mentally Retarded | 718 S 13th St, Nevada, IA 50201-2435 | 2012-03-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.