FRONT RANGE ASSISTED LIVING, INC. (NPI# 1336554203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336554203 |
| Entity Type | Organization |
| Organization Name | FRONT RANGE ASSISTED LIVING, INC. |
| Practice Address |
615 5th Ave. North Fairfield MT 59436 |
| Practice Telephone | 4064672407 |
| Practice Fax Number | 4064672411 |
| Mailing Telephone | 4064672407 |
| Mailing Fax Number | 4064672411 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |
| Authorized Official Name | MR. DAMON CARROLL (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 4064672407 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 13559 | MT | Nursing & Custodial Care Facilities |
| Street Address |
615 5TH AVE. NORTH |
| City | FAIRFIELD |
| State | MT |
| Zip Code | 59436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619341153 | Summit Counseling Services, Pllc | Community/Behavioral Health | 201 1st Ave N, Fairfield, MT 59436 | 2015-11-20 |
| 1932579794 | Megan Ann Burton | Counselor | 630 5th Ave North, Fairfield, MT 59436 | 2015-10-05 |
| 1508172750 | Valerie Loyce Anderson | Nurse Practitioner | 201 1st Ave North, Fairfield, MT 59436 | 2010-08-25 |
| 1194740928 | Grant Damon Poor | Physical Therapist | 15 6th St S, Fairfield, MT 59436 | 2006-07-13 |
| 1659768224 | Eagle Physical Therapy & Sports Med | Physical Therapist | 15 6th St S, Fairfield, MT 59436 | 2015-04-22 |
| 1083751978 | Fairfield Drug Inc | Durable Medical Equipment & Medical Supplies | 407 Central Ave, Fairfield, MT 59436 | 2007-01-31 |
| 1083751283 | Angela Dailey | Social Worker | 423 Central Ave, Fairfield, MT 59436 | 2007-01-30 |
| 1952467276 | Stephanie L Catron | Nurse Practitioner | 223 W Main, Fairfield, MT 59436 | 2006-12-29 |
| 1508172719 | Carmen Kay Staigmiller | Nurse Practitioner | 201 1st Nw Rd, Fairfield, MT 59436-0037 | 2010-08-25 |
| 1700144268 | Frontier Family Practice | Nurse Practitioner | 201 1st Ave North, Fairfield, MT 59436-0037 | 2012-05-02 |
| Find all providers in zip 59436 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783673 | Majestic Care Fairfield Assisted Living LLC | Assisted Living Facility | 5251 Dixie Hwy, Fairfield, OH 45014-3036 | 2020-09-08 |
| 1497219315 | Sunrise of Fairfield Opco, LLC | Assisted Living Facility | 1571 Stratfield Rd, Fairfield, CT 06825-1376 | 2019-01-24 |
| 1154649556 | Fairfield Pavilion | Assisted Living Facility | 5251 Dixie Highway, Fairfield, OH 45014 | 2010-05-10 |
| 1730391947 | Sunnybrook Assisted Living, Inc. | Assisted Living Facility | 3000 W Madison Ave, Fairfield, IA 52556-4205 | 2007-05-03 |
| 1831232263 | Msh West Essex Operating LLC | Assisted Living Facility | 47 Greenbrook Rd, Fairfield, NJ 07004-3890 | 2007-02-15 |
| 1346736675 | Welltower Opco Group LLC | Assisted Living Facility | 47 Greenbrook Rd, Fairfield, NJ 07004-3890 | 2018-07-10 |
| 1700333168 | Fairfield Bg Opco LLC | Assisted Living Facility | 2357 Mack Rd, Fairfield, OH 45014-8669 | 2016-09-02 |
| 1619365962 | Wc- Fairfield Ops, LLC | Assisted Living Facility | 315 Market Ave, Fairfield, IL 62837-2611 | 2015-01-08 |
| 1336498351 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 2357 Mack Rd, Fairfield, OH 45014-8669 | 2012-09-05 |
| 1225337975 | Village Assisted Living LLC | Assisted Living Facility | 3000 W Madison Ave, Fairfield, IA 52556-4205 | 2011-03-21 |
| Find all providers in FAIRFIELD | ||||
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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.