COPPER RIDGE NURSING AND REHAB CENTER LLC (NPI# 1053827824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053827824 |
| Entity Type | Organization |
| Organization Name | COPPER RIDGE NURSING AND REHAB CENTER LLC |
| Practice Address |
3251 Nettie St Butte MT 59701-6531 |
| Mailing Address |
1376 E 3300 S Salt Lake City UT 84106-3069 |
| Practice Telephone | 8016011450 |
| Mailing Telephone | 8016011450 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2019-01-14 |
| Authorized Official Name | BROOKE HIXSON (CONTROLLER) |
| Authorized Official Telephone | 8016011450 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDURO HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
3251 NETTIE ST |
| City | BUTTE |
| State | MT |
| Zip Code | 59701-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013965318 | Evergreen At Butte, L.L.C. | Skilled Nursing Facility | 3251 Nettie St, Butte, MT 59701-6531 | 2006-05-05 |
| 1013534536 | Butte Nursing and Rehab Center LLC | Skilled Nursing Facility | 3251 Nettie St, Butte, MT 59701-6531 | 2020-06-30 |
| 1568735637 | Robin M Johnson | Physical Therapist | 3251 Nettie St, Butte, MT 59701-6531 | 2012-02-20 |
| 1730499856 | Lynn Marie Price | Physical Therapist | 3251 Nettie St, Butte, MT 59701-6531 | 2010-10-08 |
| 1043486921 | Michelle Lee Bradley | Occupational Therapist | 3251 Nettie St, Butte, MT 59701-6531 | 2008-05-01 |
| 1851562664 | Butte Park Royal Operations, LLC | Skilled Nursing Facility | 3251 Nettie St, Butte, MT 59701-6531 | 2008-03-19 |
| 1568561413 | Michael E Lefever | Family Medicine | 3251 Nettie St, Butte, MT 59701-6531 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580147 | Meighan Robbins | Counselor | 3147 Wynne Ave, Butte, MT 59701 | 2019-04-01 |
| 1982174538 | Michael Jon Dahle | Social Worker | 81 W. Park St., Butte, MT 59701 | 2018-11-27 |
| 1023534997 | Kari Williams | Specialist/Technologist | 400 S Clark St., Butte, MT 59701 | 2017-08-22 |
| 1932630191 | Laura Leigh Watson | Social Worker | 3509 Whiteway, Butte, MT 59701 | 2017-03-21 |
| 1386181824 | Charles Raymond Canty | Orthopaedic Surgery | 3441 Quincy St., Butte, MT 59701 | 2017-01-23 |
| 1528500899 | Janette A Reget | Social Worker | 235 S. Crystal St., Butte, MT 59701 | 2016-11-17 |
| 1851761662 | Robin Catherine Becker | Nurse Practitioner | 209 S Montana St Ste B4, Butte, MT 59701 | 2015-10-06 |
| 1336546043 | Sara Rachel Brackett | Reflexologist | 1114 Maryland, Butte, MT 59701 | 2014-11-24 |
| 1548676117 | Laurie Ann Butkay | Technician/Technologist | 3417 Busch, Butte, MT 59701 | 2014-07-03 |
| 1760801930 | Julie Ann Monson | Counselor | 3738 Harrison Ave, Butte, MT 59701 | 2014-04-15 |
| Find all providers in zip 59701 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386790160 | Cnh Acquisitions Inc. | Skilled Nursing Facility | 3131 Amherst Ave, Butte, MT 59701-4653 | 2007-01-26 |
| 1003861899 | Peak Medical Montana Operations, LLC | Skilled Nursing Facility | 2400 Continental Dr, Butte, MT 59701-6563 | 2006-05-23 |
| 1013965318 | Evergreen At Butte, L.L.C. | Skilled Nursing Facility | 3251 Nettie St, Butte, MT 59701-6531 | 2006-05-05 |
| 1013534536 | Butte Nursing and Rehab Center LLC | Skilled Nursing Facility | 3251 Nettie St, Butte, MT 59701-6531 | 2020-06-30 |
| 1427537331 | Butte Care Holdings, LLC | Skilled Nursing Facility | 2400 Continental Dr, Butte, MT 59701-6563 | 2018-08-10 |
| 1679016596 | Empres At Butte, LLC | Skilled Nursing Facility | 2400 Continental Dr, Butte, MT 59701-6563 | 2016-11-25 |
| 1851562664 | Butte Park Royal Operations, LLC | Skilled Nursing Facility | 3251 Nettie St, Butte, MT 59701-6531 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770047581 | Lakeview Assisted Living LLC | Skilled Nursing Facility | 7437 Castle Rock Lake Dr, Colstrip, MT 59323-9533 | 2019-01-25 |
| 1124426283 | Genesis Rehabilitation | Skilled Nursing Facility | 1130 17 Th Ave South, Great Falls, MT 59405 | 2014-12-05 |
| 1336546811 | Empres At Lewistown, LLC | Skilled Nursing Facility | 410 Wendell Ave, Lewistown, MT 59457-2261 | 2014-11-26 |
| 1053728014 | Montana Vamc | Skilled Nursing Facility | 210 South Winchester, Miles City, MT 59301-4757 | 2014-07-22 |
| 1912189572 | Northeast Montana Health Services,inc | Skilled Nursing Facility | 1000 6th Ave N, Wolf Point, MT 59201-1828 | 2007-12-05 |
| 1205051729 | Elkhorn Health Care Inc | Skilled Nursing Facility | 474 Mt Highway 282, Clancy, MT 59634-9519 | 2007-04-17 |
| 1508990698 | Chouteau County District Hospital | Skilled Nursing Facility | 1501 St. Charles, Fort Benton, MT 59442 | 2007-03-14 |
| 1942378534 | Memorial Hospital Association | Skilled Nursing Facility | 600 West 21st St, Red Lodge, MT 59068-0590 | 2006-12-01 |
| 1538248067 | Blackfeet Tribe | Skilled Nursing Facility | South Government Square, South Government Square, Browning, MT 59417-0728 | 2006-11-03 |
| 1417051632 | Liberty County Hospital and Nursing Home, Inc | Skilled Nursing Facility | 600 West Monroe Ave & Hwy 223, Chester, MT 59522-0705 | 2006-09-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.