OrganizationActive
Opportunity Living
NPI 1164590642 · Intellectual Disabilities Intermediate Care Facility · Lake City, IA
Provider details
- NPI number
- 1164590642
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jill Westcott, Financial Officer(712) 464-8961
- License
- IMR608 (IA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1890 E Main St
Lake City, IA 51449-7706
Phone: (712) 464-8961
Fax: (712) 464-3320
Street-level locationGet directions
Mailing address
1890 E Main St
Lake City, IA 51449-7706
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.