EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC. (NPI# 1326137381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326137381 |
| Entity Type | Organization |
| Organization Name | EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC. |
| Practice Address |
4400 Central Ave Great Falls MT 59405-1695 |
| Mailing Address |
425 1st Ave N Great Falls MT 59401-2507 |
| Practice Telephone | 4067613680 |
| Practice Fax Number | 4037611390 |
| Mailing Telephone | 4067613680 |
| Mailing Fax Number | 4067611390 |
| Enumeration Date | 2006-10-11 |
| 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 |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | MT | Agencies |
| 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 |
| 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 |
| 1871624817 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Nursing Care | 425 1st Ave N, Great Falls, MT 59401-2507 | 2007-03-09 |
| Street Address |
4400 CENTRAL AVE |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-1695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649307505 | Easterseals-goodwill | Case Management | 4400 Central Ave, Great Falls, MT 59405-1641 | 2007-02-27 |
| 1699811414 | Easterseals Goodwill N. Rocky Mtn | Day Training, Developmentally Disabled Services | 4400 Central Ave, Great Falls, MT 59405-1641 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477806388 | Evergreen Independant Living, LLC | Day Training, Developmentally Disabled Services | 3805 7th St Ne Trlr 74, Great Falls, MT 59404-1152 | 2012-10-17 |
| 1659563484 | Visage of Great Falls | Day Training, Developmentally Disabled Services | 3805 7th St Ne Trlr 30, Great Falls, MT 59404-1149 | 2007-08-15 |
| 1275038903 | Rays of Light, LLC | Day Training, Developmentally Disabled Services | 160 Banjo Hill Ln, Great Falls, MT 59404-6121 | 2018-03-26 |
| 1699811414 | Easterseals Goodwill N. Rocky Mtn | Day Training, Developmentally Disabled Services | 4400 Central Ave, Great Falls, MT 59405-1641 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104481100 | Montana's Employment Opportunities Inc | Day Training, Developmentally Disabled Services | 945 4th Ave E, Kalispell, MT 59901-5444 | 2019-05-06 |
| 1932762481 | Montana Achievement Project | Day Training, Developmentally Disabled Services | 300 N Willson Ave Ste 402d, Bozeman, MT 59715-3551 | 2019-04-19 |
| 1548730898 | Brittany Curl | Day Training, Developmentally Disabled Services | 824 Avenue E, Billings, MT 59102-3418 | 2018-11-29 |
| 1568988244 | Rec Montana | Day Training, Developmentally Disabled Services | 510 E Florence St, Missoula, MT 59801-4152 | 2017-08-15 |
| 1659508943 | Renee's Helping Hands | Day Training, Developmentally Disabled Services | 708 16th Ave E, Polson, MT 59860-3815 | 2009-06-15 |
| 1386871879 | Zeda LLC | Day Training, Developmentally Disabled Services | 36173 Violet Ln, Polson, MT 59860-7210 | 2009-06-11 |
| 1093954463 | Silver Linings | Day Training, Developmentally Disabled Services | 2480 E Broadway St Apt 8a, Helena, MT 59601-4945 | 2009-02-09 |
| 1629247812 | Eagle Mount - Bozeman | Day Training, Developmentally Disabled Services | 6901 Goldenstein Ln, Bozeman, MT 59715-8005 | 2008-02-21 |
| 1285835496 | Ravalli Services Corporation | Day Training, Developmentally Disabled Services | 219 Pennsylvania Ave, Hamilton, MT 59840-2036 | 2007-05-29 |
| 1154544815 | Spring Meadow Resources, Inc. | Day Training, Developmentally Disabled Services | 2850 Broadwater Ave, Helena, MT 59602-9220 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
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.