GREAT FALLS SL, LLC (NPI# 1558907360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558907360 |
| Entity Type | Organization |
| Organization Name | GREAT FALLS SL, LLC |
| Practice Address |
1801 9th St S Great Falls MT 59405-5608 |
| Mailing Address |
1900 Hines St Se Ste 150 Salem OR 97302-1337 |
| Practice Telephone | 5033919999 |
| Mailing Telephone | 5033919999 |
| Mailing Fax Number | 5035878547 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | DOUGLAS SPROUL (PRESIDENT- MOSAIC MANAGEMENT) |
| Authorized Official Telephone | 5033919999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
1801 9TH ST S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-5608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639123656 | Great Falls Health Care Company, LLC | Assisted Living Facility | 1801 9th St S, Great Falls, MT 59405-5608 | 2006-05-22 |
| 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 | 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 |
|---|---|---|---|---|
| 1104212935 | Cambridge of Great Falls, LLC | Assisted Living Facility | 1109 6th Ave S, Great Falls, MT 59405-2242 | 2015-04-08 |
| 1851590665 | Great Falls Senior Living, LLC | Assisted Living Facility | 1615 9th St S, Great Falls, MT 59405-4555 | 2007-07-12 |
| 1790903391 | Cambridge Place Gf, LLC | Assisted Living Facility | 1104 6th Ave N, Great Falls, MT 59401-1583 | 2007-04-22 |
| 1588788947 | Robert Van Spyk | Assisted Living Facility | 5010 9th Ave S, Great Falls, MT 59405-5708 | 2007-03-19 |
| 1376677492 | Eagle Properties of Great Falls, LLC | Assisted Living Facility | 1501 9th St S, Great Falls, MT 59405-4531 | 2007-03-14 |
| 1316081847 | Cambridge Court Asst Living | Assisted Living Facility | 1109 6th Ave N, Great Falls, MT 59401-4115 | 2007-02-17 |
| 1639123656 | Great Falls Health Care Company, LLC | Assisted Living Facility | 1801 9th St S, Great Falls, MT 59405-5608 | 2006-05-22 |
| 1407269434 | Rainbow Senior Living | Assisted Living Facility | 20 3rd St N, Great Falls, MT 59401-3188 | 2014-06-06 |
| 1699089052 | Emeritus Corporation | Assisted Living Facility | 1104 6th Ave N, Great Falls, MT 59401-1583 | 2010-07-27 |
| 1124205315 | Huestis & Huestis, LLC | Assisted Living Facility | 5200 9th Ave S, Great Falls, MT 59405-5712 | 2008-01-30 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on GREAT FALLS SL, LLC.
| 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.