Healthcare Provider Details

I. General information

NPI: 1053435537
Provider Name (Legal Business Name): OPPORTUNITIES UNLIMITED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 SNAKE RIVER AVE
LEWISTON ID
83501-2261
US

IV. Provider business mailing address

325 SNAKE RIVER AVE
LEWISTON ID
83501-2261
US

V. Phone/Fax

Practice location:
  • Phone: 208-798-4595
  • Fax: 208-798-8721
Mailing address:
  • Phone: 208-743-1563
  • Fax: 208-732-0340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateID

VIII. Authorized Official

Name: LAURA L PARSONS
Title or Position: MEDICAID BILLING SPECIALIST
Credential:
Phone: 208-743-1563