Provider Demographics
NPI:1679614259
Name:OPPORTUNITIES UNLIMITED
Entity Type:Organization
Organization Name:OPPORTUNITIES UNLIMITED
Other - Org Name:OAKRIDGE
Other - Org Type:Other Name
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TREY
Authorized Official - Middle Name:E
Authorized Official - Last Name:WEAVER
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 1:2007 RAVENS CT
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-1762
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:2007-02-08
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
IA0881417315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0881417Medicaid
IA0881417Medicaid