MOUNTAIN SPRINGS LIVING INC. (NPI# 1669722021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669722021 |
Entity Type | Organization |
Organization Name | MOUNTAIN SPRINGS LIVING INC. |
Practice Address |
215 N Cooper Ave Red Lodge MT 59068-9140 |
Mailing Address |
Po Box 1432 Red Lodge MT 59068-1432 |
Practice Telephone | 4066719678 |
Mailing Telephone | 4064260253 |
Mailing Fax Number | 4064460198 |
Enumeration Date | 2012-09-13 |
Last Update Date | 2018-04-02 |
Authorized Official Name | JODY ACKERMAN (SUPPORTED LIVING/HOME CARE MANAGER) |
Authorized Official Telephone | 4064260253 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 0044380001 | MT | Residential Treatment Facilities |
Street Address |
215 N COOPER AVE |
City | RED LODGE |
State | MT |
Zip Code | 59068-9140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770080137 | Maggi Blevins | Registered Nurse | 215 N Cooper Ave, Red Lodge, MT 59068-9140 | 2018-04-11 |
1821594847 | Debra Bernard | Registered Nurse | 215 N Cooper Ave, Red Lodge, MT 59068-9140 | 2018-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750947941 | John Joseph Monroe | Counselor | 515 W 22nd St, Red Lodge, MT 59068 | 2019-05-14 |
1760977706 | Carbon County Senior Care, LLC | In Home Supportive Care | 4 Bighorn Ln., Red Lodge, MT 59068 | 2018-06-22 |
1174052302 | Kelsey Jo Fraser | Dentist | 515 N Broadway Ave Ste 4, Red Lodge, MT 59068 | 2017-06-10 |
1285085795 | Gregory Moos | Dentist | 515 Broadway Ave. North, Red Lodge, MT 59068 | 2016-06-27 |
1104186832 | The Willows | Assisted Living Facility | 2475 North Broadway, Red Lodge, MT 59068 | 2012-05-29 |
1124391776 | Bruce Robert Fishburn | Ophthalmology | 16 Lower Wapiti Valley Road, Red Lodge, MT 59068 | 2012-02-13 |
1235409988 | Wayne Allen Hill | Radiology | 397 Highway 78, Red Lodge, MT 59068 | 2012-01-11 |
1346372182 | Lynn Kathleen Zavala | Physical Therapist | 600 W 21st St, Red Lodge, MT 59068 | 2007-03-09 |
1073677084 | Nancy Mcgrade | Counselor | 1 N Broadway, Red Lodge, MT 59068 | 2006-12-21 |
1306908785 | Steven Wallace Fugere | Occupational Therapist | 600 West 21st Str., Red Lodge, MT 59068 | 2006-12-14 |
Find all providers in zip 59068 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649787961 | Bridges of Montana | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 711 Central Ave Ste 122, Billings, MT 59102-5892 | 2018-01-09 |
1215447693 | Excelsior Consulting, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 N Higgins Ave Ste 26, Missoula, MT 59802-4560 | 2017-10-11 |
1215143227 | Residential Support Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2024 3rd Ave N, Billings, MT 59101-2210 | 2007-05-15 |
1316090707 | Little Bitterroot Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 W Lynch, Plains, MT 59859 | 2007-01-19 |
1780737007 | Flathead Industries | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 66 4th Ave Wn, Kalispell, MT 59901 | 2007-01-19 |
1265585889 | Achievements, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Mineral Ave, Libby, MT 59923-1949 | 2007-01-18 |
1891846390 | Sketch LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 936 Butte Ave, Helena, MT 59601-3819 | 2007-01-13 |
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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.