HOSPICE OF MISSOULA LLC


Address: 800 Kensington Ave, Suite 209, Missoula, MT 59801-5674
Phone: 4065434408

HOSPICE OF MISSOULA LLC (NPI# 1437143484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437143484
Entity Type Organization
Organization Name HOSPICE OF MISSOULA LLC
Practice Address 800 Kensington Ave
Suite 209
Missoula
MT 59801-5674
Practice Telephone 4065434408
Practice Fax Number 4065434418
Mailing Telephone 4065434408
Mailing Fax Number 4065434418
Enumeration Date 2005-09-06
Last Update Date 2020-08-22
Authorized Official Name GREGORY JACKSON (OWNER)
Authorized Official Telephone 4065434408
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based 9596 MT Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MT 0750210 05
MT BLUE CROSS BLUE SHIELD 350190 01

Office Location

Street Address 800 KENSINGTON AVE
SUITE 209
City MISSOULA
State MT
Zip Code 59801-5674

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538784467 Alex Lopach Speech-Language Pathologist 800 Kensington Ave, Missoula, MT 59801-5674 2020-06-16
1366078610 Stephanie Ammons Isbell Counselor 800 Kensington Ave, Missoula, MT 59801-5674 2020-03-18
1104326974 Blackwell Behavioral Health Counselor 800 Kensington Ave, Missoula, MT 59801-5674 2018-02-17
1265960090 Kiley Eversole Physical Therapist 800 Kensington Ave, Missoula, MT 59801-5674 2017-05-24
1881120327 Speech Savvy, Pllc Speech-Language Pathologist 800 Kensington Ave, Suite 100, Missoula, MT 59801-5674 2017-05-03
1770022162 Haleyann Broth Occupational Therapist 800 Kensington Ave, #100, Missoula, MT 59801-5674 2017-02-17
1437693991 Kellen Puskar Massage Therapist 800 Kensington Ave, Suite 201, Missoula, MT 59801-5674 2016-12-16
1831647700 Kristianne Chavez Massage Therapist 800 Kensington Ave, Suite 201, Missoula, MT 59801-5674 2016-09-20
1053869933 Megan Stedman Massage Therapist 800 Kensington Ave, Suite 201, Missoula, MT 59801-5674 2016-09-20
1093269516 Alana Lyng-hughes Speech-Language Pathologist 800 Kensington Ave, Suite 100, Missoula, MT 59801-5674 2016-08-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629681010 Time To Thrive Pllc Social Worker 1836 South Ave. West, Missoula, MT 59801 2020-08-26
1740815653 Yuzo Fujiki Specialist/Technologist 210 N California St 104, Missoula, MT 59801 2020-03-11
1407346596 Stepping Stones Counseling, Pllc Counselor 202 Brooks St Ste 300, Missoula, MT 59801 2018-05-14
1437668530 Rejuve Care Clinic, Inc Plastic Surgery 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 2017-09-21
1619499555 Beatrice Elise Powers Specialist/Technologist 410 B Stephens Ave, Missoula, MT 59801 2017-07-12
1770012197 Hannah Lepiane Massage Therapist 1313 S. 4th W., Missoula, MT 59801 2017-06-08
1811420227 Celeste Willis Social Worker 1055 W. Sussex, Missoula, MT 59801 2017-04-04
1073050498 Rina Kasuga Specialist/Technologist 913 Rimini Ct, Missoula, MT 59801 2017-01-24
1043756919 Heather Bartz Specialist/Technologist 831 Hastings Ave, Missoula, MT 59801 2017-01-16
1255874517 Sarabeth Haddad Social Worker 1055 W Sussex Ave, Missoula, MT 59801 2016-11-18
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336546456 Hospice of Ravalli County Hospice Care, Community Based 7901 Saddlebow Trl, Missoula, MT 59808-1237 2014-12-04
1962042754 Clark Fork Healthcare, LLC Hospice Care, Community Based 1900 S Reserve St, Missoula, MT 59801-6455 2020-01-09
1891162541 Home Health Services, Inc. Hospice Care, Community Based 2445 S 3rd St W Ste B, Missoula, MT 59801-1330 2015-08-28
1437498953 Rocky Mountain Hospice of Missoula, LLC Hospice Care, Community Based 2409 Dearborn Ave, Suite E, Missoula, MT 59801-7586 2013-02-04
1992862718 Partners In Home Care, Inc Hospice Care, Community Based 2687 Palmer St, Suite B, Missoula, MT 59808-1710 2007-01-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790295046 Senior Solutions, Inc. Hospice Care, Community Based 125 W Granite St Ste 100, Butte, MT 59701-9215 2017-10-01
1659891505 Hospice of Montana, LLC Hospice Care, Community Based 3737 Grand Ave Ste 4, Billings, MT 59102-6258 2017-06-21
1437514619 Highlands Veterinary Hospital Hospice Care, Community Based 840 S Montana St, Butte, MT 59701-2859 2015-12-15
1235483728 Home Based Services Initiative, LLC Hospice Care, Community Based 3940 Rimrock Road, Billings, MT 59102-0141 2012-11-05
1235454273 Forrest Financial LLC Hospice Care, Community Based 575 Toluca Dr, Billings, MT 59101-6876 2010-04-01
1982928446 Hospice of Southwest Montana, LLC Hospice Care, Community Based 3810 Valley Commons Dr, Suite 1, Bozeman, MT 59718-6477 2010-03-26
1205008471 Hospice Solutions LLC Hospice Care, Community Based 19 Discovery Dr, Butte, MT 59701-3124 2008-03-28
1497894026 Rocky Mountain Hospice Hospice Care, Community Based 2110 Overland Ave Ste 111, Billings, MT 59102-6440 2007-02-06
1841342011 St. John's Lutheran Hospital, Inc Hospice Care, Community Based 313 Montana Ave, Libby, MT 59923-2037 2007-01-17
1093892705 Big Horn Hospice Inc Hospice Care, Community Based Hc 36 Box 2010, Hardin, MT 59034-9601 2006-11-01
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Competitor

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City MISSOULA
Zip Code 59801

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Dataset Information

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.

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