Provider Demographics
NPI:1861862336
Name:LIVING OPPORTUNITIES, INC.
Entity type:Organization
Organization Name:LIVING OPPORTUNITIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED NURSING HOME ADMIN/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:440-466-1678
Mailing Address - Street 1:PO BOX 271
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:OH
Mailing Address - Zip Code:44041-0271
Mailing Address - Country:US
Mailing Address - Phone:440-466-1678
Mailing Address - Fax:440-466-5696
Practice Address - Street 1:6873 DAVE DRIVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057
Practice Address - Country:US
Practice Address - Phone:440-466-1678
Practice Address - Fax:440-466-5696
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIVING OPPORTUNITIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH28268320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities