Provider Demographics
NPI:1740735802
Name:HOUSING OPPORTUNITIES, INC
Entity Type:Organization
Organization Name:HOUSING OPPORTUNITIES, INC
Other - Org Name:THERAPY WORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-548-2800
Mailing Address - Street 1:2001 CALUMET AVE
Mailing Address - Street 2:HOUSING OPPORTUNITIES
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-2781
Mailing Address - Country:US
Mailing Address - Phone:219-548-2800
Mailing Address - Fax:219-548-2807
Practice Address - Street 1:2001 CALUMET AVE
Practice Address - Street 2:HOUSING OPPORTUNITIES
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2781
Practice Address - Country:US
Practice Address - Phone:219-548-2800
Practice Address - Fax:219-548-2807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-18
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042691A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201403300 AMedicaid