Opportunity Village

LBN: Handicap Village
Opportunity Village is an health care organization with primary practice located at 1200 N 9Th St W , Clear Lake IA 50428-1100. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Handicap Village can be contacted via phone (641) 357-5277, or through Braun, Gregory via phone (641) 355-1200.

Contact Information

Primary practice address
1200 N 9Th St W Clear Lake IA 50428-1100
Phone: (641) 357-5277
Fax: (641) 357-6491
Website:
Map and Directions
Authorized official contact:
Name: Braun, Gregory
Phone: (641) 355-1200

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1225189921
LBN Legal business name Handicap Village
DBA Doing business as Opportunity Village
Authorized official Braun, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225189921 NPPES
Iowa MEDICAID 0890335

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