HANDICAP VILLAGE NPI 1396072252

NPI Information

NPI: 1396072252
Provider Name: HANDICAP VILLAGE

Doing Business As: OPPORTUNITY VILLAGE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1470 21ST AVE N
FORT DODGE, IA
ZIP 50501
Phone: (515) 573-8243
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HANDICAP VILLAGE is an intermediate care facility mentally retarded in Fort Dodge, IA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HANDICAP VILLAGE NPI is 1396072252. The provider is registered as an organization entity type.
The provider Is Doing Business As Opportunity Village.

The provider's business location address is:

1470 21ST AVE N
FORT DODGE, IA
ZIP 50501-114
Phone: (515) 573-8243
Fax: (515) 576-4269

The provider's authorized official is John Severtson .
The authorized official title is Ceo and has the following contact phone number (641) 357-5277.

The enumeration date for this NPI number is 11/12/2009 and was last updated on 11/12/2009.

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

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: 4/28/2024

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