EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC (NPI# 1871159699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871159699 |
| Entity Type | Organization |
| Organization Name | EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC |
| Practice Address |
425 1st Ave N Great Falls MT 59401-2507 |
| Mailing Address |
Po Box 2509 Great Falls MT 59403-2509 |
| Practice Telephone | 4067613680 |
| Practice Fax Number | 4067611390 |
| Mailing Telephone | 4067613680 |
| Mailing Fax Number | 4067611390 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | SUSAN DORR (DIRECTOR OF BILLING & REIMBURSEMENT) |
| Authorized Official Telephone | 4067713754 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 138320 | 05 | |
| MT | 121732 | 05 | |
| NE | 167648 | 05 |
| Other Name | Type Code |
|---|---|
| Personal Care | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 305 Main Ave N, Choteau, MT 594229074 | 4064662088 | 4067611390 |
| 3703 Harrison Ave, Butte, MT 597016897 | 4065330020 | 4067611390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558706945 | Easterseals-goodwill Northern Rocky Mountain, Inc | Community/Behavioral Health | 510 Arthur St Ste 150, Caldwell, ID 83605-3778 | 2013-04-30 |
| 1598100992 | Easterseals-goodwill Northern Rocky Mountain, Inc | Early Intervention Provider Agency | 2401 Montana Ave Ste 301, Billings, MT 59101-2375 | 2013-04-30 |
| 1144571993 | Easterseals-goodwill Northern Rocky Mountain, Inc | Durable Medical Equipment & Medical Supplies | 1537 Avenue D Ste 111, Billings, MT 59102-3048 | 2012-09-19 |
| 1336149517 | Easterseals-goodwill Northern Rocky Mountain, Inc | Hospice Care, Community Based | 3703 Harrison Ave, Butte, MT 59701-6897 | 2005-07-28 |
| 1437159035 | Easterseals-goodwill Northern Rocky Mountain, Inc | Home Health | 425 1st Ave N, Great Falls, MT 59401-2507 | 2005-07-26 |
| 1164697991 | Easterseals-goodwill Northern Rocky Mountain, Inc | Occupational Therapy Assistant | 1537 Avenue D, Suite 210, Billings, MT 59102-3048 | 2008-04-23 |
| Street Address |
425 1ST AVE N |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159035 | Easterseals-goodwill Northern Rocky Mountain, Inc | Home Health | 425 1st Ave N, Great Falls, MT 59401-2507 | 2005-07-26 |
| 1033690136 | Teresa Anne Johnson | Physical Therapist | 425 1st Ave N, Great Falls, MT 59401-2507 | 2018-08-27 |
| 1285115378 | Karen Louise Collier | Physical Therapist | 425 1st Ave N, Great Falls, MT 59401-2507 | 2018-08-27 |
| 1386144798 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Hospice Care, Community Based | 425 1st Ave N, Great Falls, MT 59401-2507 | 2018-02-13 |
| 1871624817 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Nursing Care | 425 1st Ave N, Great Falls, MT 59401-2507 | 2007-03-09 |
| 1114054871 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Nursing Care | 425 1st Ave N, Great Falls, MT 59401-2507 | 2007-02-28 |
| 1104953868 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Case Management | 425 1st Ave N, Great Falls, MT 59401-2507 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025375 | Stacy A Mckittrick | Counselor | 26 4th St S, Great Falls, MT 59401 | 2019-04-02 |
| 1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
| 1043675945 | Nathan Wade Steward | Counselor | 926 8th Ave North, Great Falls, MT 59401 | 2015-12-18 |
| 1720464340 | Rivers Edge Dental | Health Maintenance Organization | 1900 River Drive North, Great Falls, MT 59401 | 2015-08-05 |
| 1508261140 | Maryann Dubay | Counselor | 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 | 2014-10-24 |
| 1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
| 1851651863 | Teresa Marie Mouser | Counselor | 1601 2nd Ave N Ste 208, Great Falls, MT 59401 | 2012-05-23 |
| 1952683542 | Mary Dolores Mancillas-loveless | Physical Therapy Assistant | 612 1st Ave. So., Great Falls, MT 59401 | 2011-09-09 |
| 1629363338 | Tanya Lee Harant | Technician, Other | 614 Central Ave., Great Falls, MT 59401 | 2011-06-10 |
| 1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
| Find all providers in zip 59401 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114336633 | Stayathomehomecare | In Home Supportive Care | 1601 2nd Ave N, Suite 212, Great Falls, MT 59401-3259 | 2014-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708961 | Client Dedicated Services, Inc | In Home Supportive Care | 2110 South Ave W, Missoula, MT 59801-6504 | 2020-01-02 |
| 1932746914 | Lindsey Klebenow | In Home Supportive Care | 601 Nikles Dr Ste 2d, Bozeman, MT 59715-2588 | 2019-12-09 |
| 1639725393 | Mary Ann Hansen | In Home Supportive Care | 42095 Mt Highway 83, Bigfork, MT 59911-7838 | 2019-08-16 |
| 1124586607 | Pangea Health Services LLC | In Home Supportive Care | 4254 Bordeaux Blvd, Missoula, MT 59808-9686 | 2019-03-04 |
| 1740752492 | Credence Home Care LLC | In Home Supportive Care | 108 W Main St Unit 201, Manhattan, MT 59741-2353 | 2018-12-19 |
| 1154899987 | Golden Opportunities, LLC | In Home Supportive Care | 1941 Strand Ave, Missoula, MT 59801-5409 | 2018-11-09 |
| 1760977706 | Carbon County Senior Care, LLC | In Home Supportive Care | 4 Bighorn Ln., Red Lodge, MT 59068 | 2018-06-22 |
| 1780124347 | Harvest Home Care Inc | In Home Supportive Care | 2407 Schilling St Apt C, Missoula, MT 59801-7548 | 2017-03-02 |
| 1972052363 | Rl & Dl Ventures, LLC | In Home Supportive Care | 1645 Parkhill Dr Ste 3, Billings, MT 59102-3067 | 2016-09-26 |
| 1619325016 | Hestia In-home Support LLC | In Home Supportive Care | 700 Sw Higgins Ave Ste 102, Missoula, MT 59803-1489 | 2016-05-26 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59401 |
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.