Healthcare Provider Details

I. General information

NPI: 1891891917
Provider Name (Legal Business Name): OPPORTUNITY HOMES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 IOWA AVE
DECORAH IA
52101-1237
US

IV. Provider business mailing address

606 IOWA AVE PO BOX 166
DECORAH IA
52101-1237
US

V. Phone/Fax

Practice location:
  • Phone: 563-382-8140
  • Fax: 563-382-5049
Mailing address:
  • Phone: 563-382-8140
  • Fax: 563-382-5049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SUSAN KOCH-SEEHASE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 563-382-8140