EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC. (NPI# 1104953868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104953868 |
| Entity Type | Organization |
| Organization Name | EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC. |
| Practice Address |
425 1st Ave N Great Falls MT 59401-2507 |
| Practice Telephone | 4064543883 |
| Practice Fax Number | 4064543235 |
| Mailing Telephone | 4067613680 |
| Mailing Fax Number | 4067611390 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2019-03-26 |
| Authorized Official Name | MARK SHERMAN (CFO) |
| Authorized Official Telephone | 4067713762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | MT | Agencies | |
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805011100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4400 Central Ave, Great Falls, MT 594051641 | 4067613680 | 4064524850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558593830 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Early Intervention Provider Agency | 5242 South 4820 West, Att Janet Wade, Kearns, UT 84118 | 2009-08-20 |
| 1730204116 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Community/Behavioral Health | 1465 S Vinnell Way, Boise, ID 83709-1659 | 2007-03-21 |
| 1558486951 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Community/Behavioral Health | 1607 N Parkcentre Pl, Nampa, ID 83651-1705 | 2007-03-21 |
| 1326137381 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Day Training, Developmentally Disabled Services | 4400 Central Ave, Great Falls, MT 59405-1695 | 2006-10-11 |
| 1386144798 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Hospice Care, Community Based | 425 1st Ave N, Great Falls, MT 59401-2507 | 2018-02-13 |
| 1386959575 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Occupational Therapist | 350 S 400 E, Salt Lake City, UT 84111-2908 | 2010-08-11 |
| 1770715062 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Day Training, Developmentally Disabled Services | 1465 S Vinnell Way, Boise, ID 83709-1659 | 2009-08-20 |
| 1245418300 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Community/Behavioral Health | 1607 N Parkcentre Pl, Nampa, ID 83651-1705 | 2008-01-31 |
| 1861601239 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Community/Behavioral Health | 1607 N Parkcentre Pl, Nampa, ID 83651-1705 | 2007-05-22 |
| 1740305135 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Community/Behavioral Health | 1408 W Hays St, Boise, ID 83702-5028 | 2007-03-21 |
| Street Address |
425 1ST AVE N |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159035 | Easterseals-goodwill Northern Rocky Mountain, Inc | Home Health | 425 1st Ave N, Great Falls, MT 59401-2507 | 2005-07-26 |
| 1871159699 | Easterseals-goodwill Northern Rocky Mountain, Inc | In Home Supportive Care | 425 1st Ave N, Great Falls, MT 59401-2507 | 2019-05-16 |
| 1033690136 | Teresa Anne Johnson | Physical Therapist | 425 1st Ave N, Great Falls, MT 59401-2507 | 2018-08-27 |
| 1285115378 | Karen Louise Collier | Physical Therapist | 425 1st Ave N, Great Falls, MT 59401-2507 | 2018-08-27 |
| 1386144798 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Hospice Care, Community Based | 425 1st Ave N, Great Falls, MT 59401-2507 | 2018-02-13 |
| 1871624817 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Nursing Care | 425 1st Ave N, Great Falls, MT 59401-2507 | 2007-03-09 |
| 1114054871 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Nursing Care | 425 1st Ave N, Great Falls, MT 59401-2507 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025375 | Stacy A Mckittrick | Counselor | 26 4th St S, Great Falls, MT 59401 | 2019-04-02 |
| 1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
| 1043675945 | Nathan Wade Steward | Counselor | 926 8th Ave North, Great Falls, MT 59401 | 2015-12-18 |
| 1720464340 | Rivers Edge Dental | Health Maintenance Organization | 1900 River Drive North, Great Falls, MT 59401 | 2015-08-05 |
| 1508261140 | Maryann Dubay | Counselor | 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 | 2014-10-24 |
| 1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
| 1851651863 | Teresa Marie Mouser | Counselor | 1601 2nd Ave N Ste 208, Great Falls, MT 59401 | 2012-05-23 |
| 1952683542 | Mary Dolores Mancillas-loveless | Physical Therapy Assistant | 612 1st Ave. So., Great Falls, MT 59401 | 2011-09-09 |
| 1629363338 | Tanya Lee Harant | Technician, Other | 614 Central Ave., Great Falls, MT 59401 | 2011-06-10 |
| 1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
| Find all providers in zip 59401 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487048146 | Alternative Choices | Home Health | 123 25th St Sw, Great Falls, MT 59404-2525 | 2015-03-20 |
| 1437159035 | Easterseals-goodwill Northern Rocky Mountain, Inc | Home Health | 425 1st Ave N, Great Falls, MT 59401-2507 | 2005-07-26 |
| 1811927452 | Benefis Spectrum Medical, Inc. | Home Health | 1411 9th St S, Great Falls, MT 59405-4503 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605322 | Amber E Gates | Home Health | 206 Clark St, Deer Lodge, MT 59722-1122 | 2020-06-30 |
| 1932724960 | Tahj B Kjelland | Home Health | 1580 Milwaukee Way, Missoula, MT 59801-3006 | 2020-06-16 |
| 1164068581 | Nodie Kay Bishop | Home Health | 1160 N. Water St., Darby, MT 59829-9622 | 2019-11-20 |
| 1649812108 | Carrie A Swanson | Home Health | 3075 Avenue C Apt 302, Billings, MT 59102-8104 | 2019-10-16 |
| 1639649387 | Saddle Mountain Home Care | Home Health | 119 W Callender St, Livingston, MT 59047-2615 | 2018-11-26 |
| 1750871240 | S and S Home Care | Home Health | 1536 Yellowstone Ave Apt A, Billings, MT 59102-4161 | 2018-05-10 |
| 1467980391 | Gail Sandifer | Home Health | 94025 Mt Highway 2, Three Forks, MT 59752-8990 | 2017-05-23 |
| 1427585512 | Lisa Schmitz | Home Health | 880 Motsiff Rd, Helena, MT 59602-7241 | 2017-05-19 |
| 1699202051 | Jason Pettit | Home Health | 705 E 6th Ave, Helena, MT 59601-4381 | 2017-05-16 |
| 1003362526 | Jacqueline Eaton | Home Health | 596 Hollow Ln, Bigfork, MT 59911-6325 | 2016-08-26 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59401 |
Please comment or provide details below to improve the information on EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC..
| 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.