IVY AT GREAT FALLS LLC (NPI# 1891332896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891332896 |
| Entity Type | Organization |
| Organization Name | IVY AT GREAT FALLS LLC |
| Practice Address |
1130 17th Ave S Great Falls MT 59405-4523 |
| Mailing Address |
9429 Harding Ave # 141 Surfside FL 33154-2803 |
| Practice Telephone | 4067714500 |
| Mailing Telephone | 3059129260 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | RYAN MORRIS COANE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3059129260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | IVY AT GREAT FALLS LLC, THE | 1130 17th Ave S, Great Falls, MT 59405-4523 |
| Street Address |
1130 17TH AVE S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-4523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063459501 | 1130 Seventeenth Avenue Operations LLC | Skilled Nursing Facility | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2006-06-01 |
| 1558922906 | Deborah Butler | Licensed Practical Nurse | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2019-06-26 |
| 1942760384 | Jacob Casey Sternhagen | Occupational Therapist | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2019-03-21 |
| 1467919266 | Mercy Marie Mendoza Sibala | Occupational Therapist | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2019-02-27 |
| 1619442126 | Great Falls Care Holdings, LLC | Skilled Nursing Facility | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2018-10-11 |
| 1548777287 | Rosaleen Handl | Dental Hygienist | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2018-01-03 |
| 1649785692 | Doree Anne Bebee | Physical Therapy Assistant | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2017-12-12 |
| 1841728284 | Gabriela Fernandez | Physical Therapy Assistant | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2017-05-30 |
| 1033652953 | Empres At Great Falls, LLC | Skilled Nursing Facility | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2016-11-25 |
| 1053854174 | Katherine Jane Taylor | Occupational Therapy Assistant | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2016-11-21 |
| Find all providers in the same location | ||||
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124426283 | Genesis Rehabilitation | Skilled Nursing Facility | 1130 17 Th Ave South, Great Falls, MT 59405 | 2014-12-05 |
| 1871501098 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1500 32nd St S, Great Falls, MT 59405-5300 | 2006-08-03 |
| 1063459501 | 1130 Seventeenth Avenue Operations LLC | Skilled Nursing Facility | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2006-06-01 |
| 1619442126 | Great Falls Care Holdings, LLC | Skilled Nursing Facility | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2018-10-11 |
| 1033652953 | Empres At Great Falls, LLC | Skilled Nursing Facility | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2016-11-25 |
| 1699148932 | Carolyn Johnston | Skilled Nursing Facility | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2015-11-09 |
| 1023416187 | Genesis Rehabilitation | Skilled Nursing Facility | 1130 17th Ave So, Great Falls, MT 59405 | 2014-12-05 |
| 1760889083 | Gensis Rehabilitation | Skilled Nursing Facility | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2014-12-02 |
| 1528214434 | Benefis Health System | Skilled Nursing Facility | 500 15th Ave S, Great Falls, MT 59405-4304 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770047581 | Lakeview Assisted Living LLC | Skilled Nursing Facility | 7437 Castle Rock Lake Dr, Colstrip, MT 59323-9533 | 2019-01-25 |
| 1336546811 | Empres At Lewistown, LLC | Skilled Nursing Facility | 410 Wendell Ave, Lewistown, MT 59457-2261 | 2014-11-26 |
| 1053728014 | Montana Vamc | Skilled Nursing Facility | 210 South Winchester, Miles City, MT 59301-4757 | 2014-07-22 |
| 1912189572 | Northeast Montana Health Services,inc | Skilled Nursing Facility | 1000 6th Ave N, Wolf Point, MT 59201-1828 | 2007-12-05 |
| 1205051729 | Elkhorn Health Care Inc | Skilled Nursing Facility | 474 Mt Highway 282, Clancy, MT 59634-9519 | 2007-04-17 |
| 1508990698 | Chouteau County District Hospital | Skilled Nursing Facility | 1501 St. Charles, Fort Benton, MT 59442 | 2007-03-14 |
| 1386790160 | Cnh Acquisitions Inc. | Skilled Nursing Facility | 3131 Amherst Ave, Butte, MT 59701-4653 | 2007-01-26 |
| 1942378534 | Memorial Hospital Association | Skilled Nursing Facility | 600 West 21st St, Red Lodge, MT 59068-0590 | 2006-12-01 |
| 1538248067 | Blackfeet Tribe | Skilled Nursing Facility | South Government Square, South Government Square, Browning, MT 59417-0728 | 2006-11-03 |
| 1417051632 | Liberty County Hospital and Nursing Home, Inc | Skilled Nursing Facility | 600 West Monroe Ave & Hwy 223, Chester, MT 59522-0705 | 2006-09-08 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
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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.