Provider Demographics
NPI:1851371413
Name:OPPORTUNITY HOMES, INC.
Entity Type:Organization
Organization Name:OPPORTUNITY HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-424-1411
Mailing Address - Street 1:7891 STATE ROUTE 45
Mailing Address - Street 2:PO BOX 327
Mailing Address - City:LISBON
Mailing Address - State:OH
Mailing Address - Zip Code:44432-9396
Mailing Address - Country:US
Mailing Address - Phone:330-424-1411
Mailing Address - Fax:330-424-1483
Practice Address - Street 1:7891 STATE ROUTE 45
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:OH
Practice Address - Zip Code:44432-9396
Practice Address - Country:US
Practice Address - Phone:330-424-1411
Practice Address - Fax:330-424-1483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36G133315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities