MEDICARE: ALTERNATIVE OPPORTUNTIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1831510973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE OPPORTUNTIES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1277
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65801-1277
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10095 JAMES A REED RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64134-2168
Country	:	US
Telephone Number	:	816-767-8090
Fax Number	:

Authorized Official
Title or Position	:	CHIEF ADMINISTRATOR
Name	:	BONTIEA GOSS
Credential	:
Telephone Number	:	417-869-8911

Provider Enumeration Date	:	12/16/2013
Last Update Date	:	12/16/2013

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