HANDICAP VILLAGE NPI 1548317944

NPI Information

NPI: 1548317944
Provider Name: HANDICAP VILLAGE

Doing Business As: OPPORTUNITY VILLAGE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1200 N 9TH ST W
CLEAR LAKE, IA
ZIP 50428
Phone: (641) 357-5277
Get Directions

HANDICAP VILLAGE is an intermediate care facility mentally retarded in Clear Lake, IA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HANDICAP VILLAGE NPI is 1548317944. The provider is registered as an organization entity type.
The provider Is Doing Business As Opportunity Village.

The provider's business location address is:

1200 N 9TH ST W
CLEAR LAKE, IA
ZIP 50428-100
Phone: (641) 357-5277

The provider's authorized official is Gregory Braun .
The authorized official title is Cfo and has the following contact phone number (641) 355-1200.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0882084	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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