Healthcare Provider Details
I. General information
NPI: 1679698658
Provider Name (Legal Business Name): OPPORTUNITIES UNLIMITED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2007
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
305 N STATE ST BLDG 1
GRANGEVILLE ID
83530-1769
US
IV. Provider business mailing address
325 SNAKE RIVER AVE
LEWISTON ID
83501-2261
US
V. Phone/Fax
- Phone: 208-935-0309
- Fax: 208-935-0852
- Phone: 208-743-1563
- Fax: 208-798-0340
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251X00000X |
| Taxonomy | Supports Brokerage Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | ID |
VIII. Authorized Official
Name:
LAURA
L
PARSONS
Title or Position: MEDICAID BILLING SPECIALIST
Credential:
Phone: 208-743-1563