OrganizationActive
Handicap Village
NPI 1487981783 · Intellectual Disabilities Intermediate Care Facility · Fort Dodge, IA
Provider details
- NPI number
- 1487981783
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Severtson, Ceo(641) 357-5277
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1470 21st Ave N
Fort Dodge, IA 50501-7114
Phone: (515) 573-8243
Fax: (515) 576-4269
Street-level locationGet directions
Mailing address
Po Box 622
Clear Lake, IA 50428-0622
Other names (DBA / former)
- Doing business as
- Opportunity Village
Registry dates
- Enumerated
- 2009-11-06
- Last updated
- 2009-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.