Provider Demographics
NPI:1225169170
Name:OPPORTUNITIES UNLIMITED
Entity Type:Organization
Organization Name:OPPORTUNITIES UNLIMITED
Other - Org Name:WAIVER DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-277-8295
Mailing Address - Street 1:3439 GLEN OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-1761
Mailing Address - Country:US
Mailing Address - Phone:712-277-8295
Mailing Address - Fax:712-277-8602
Practice Address - Street 1:3439 GLEN OAKS BLVD
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-1761
Practice Address - Country:US
Practice Address - Phone:712-277-8295
Practice Address - Fax:712-277-8602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0162727385HR2055X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0162727Medicaid