LASTING LEGACY ASSISTED LIVING, LLC (NPI# 1972974046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972974046 |
| Entity Type | Organization |
| Organization Name | LASTING LEGACY ASSISTED LIVING, LLC |
| Practice Address |
1636 Inverness Dr Billings MT 59105-3518 |
| Practice Telephone | 4065348770 |
| Practice Fax Number | 4065348771 |
| Mailing Telephone | 4065348770 |
| Mailing Fax Number | 4065348771 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |
| Authorized Official Name | CHAD D GREEN (OWNER) |
| Authorized Official Telephone | 4065348770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 31476 | MT | Nursing & Custodial Care Facilities |
| Street Address |
1636 INVERNESS DR |
| City | BILLINGS |
| State | MT |
| Zip Code | 59105-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376181271 | Colette Urfer | Counselor | 1017 Babcock Blvd, Billings, MT 59105 | 2019-12-11 |
| 1922541028 | Michelle Davis | Counselor | 505 Milton Road, Billings, MT 59105 | 2016-11-22 |
| 1265974299 | Heidi Kenney | Counselor | 1345 Elaine St, Billings, MT 59105 | 2016-11-08 |
| 1134582992 | Alexandra Petrino | Counselor | 926 Main St Ste 22d, Billings, MT 59105 | 2016-03-30 |
| 1548685415 | Sarah Marie Lawler | Occupational Therapy Assistant | 1415 Yellowstone River Rd., Billings, MT 59105 | 2014-02-28 |
| 1861788325 | Katrina Marie Rauch | Midwife | 15 W Wicks Lane, Suite B, Billings, MT 59105 | 2011-06-23 |
| 1356592349 | Robert Allan Bronecki | Dentist | 926 Main, Suite #23, Billings, MT 59105 | 2008-10-08 |
| 1902933385 | Andrew W Pickens | Dentist | 730 Main, Suite 101, Billings, MT 59105 | 2007-02-27 |
| 1578651352 | Daniel T Mcquinn | Dentist | 760 Wicks Lane, Billings, MT 59105 | 2006-10-10 |
| 1750376299 | Lantis Enterprises, Inc | Speech-Language Pathologist | 1415 Yellowstone River Rd, Billings, MT 59105 | 2005-09-12 |
| Find all providers in zip 59105 | ||||
| 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 |
|---|---|---|---|---|
| 1689274185 | Primrose Inc | Assisted Living Facility | 1349 Lake Elmo Dr, Billings, MT 59105-1759 | 2020-10-26 |
| 1013548759 | J&j Caregivers, LLC | Assisted Living Facility | 1839 Venus Cir, Billings, MT 59105-3811 | 2020-01-31 |
| 1477108397 | The Legacy Assisted Living LLC | Assisted Living Facility | 810 Wicks Ln, Billings, MT 59105-4426 | 2019-08-07 |
| 1407266224 | Grand Park, LLC | Assisted Living Facility | 1221 28th St W, Billings, MT 59102-3790 | 2014-05-01 |
| 1013290501 | Amy L Adams | Assisted Living Facility | 3932 Palisades Park Dr, Billings, MT 59102-0134 | 2011-09-21 |
| 1295941847 | Missions United, Inc. | Assisted Living Facility | 3840 Rimrock Rd, Billings, MT 59102-0100 | 2007-05-14 |
| 1972623478 | Adult Home Care Services | Assisted Living Facility | 106 Erickson Ct N, Billings, MT 59105-2363 | 2007-03-29 |
| 1417074436 | Tendernest LLC | Assisted Living Facility | 4001 Parkhill Dr, Billings, MT 59106-1713 | 2007-03-23 |
| 1528199395 | Autumn Springs Assisted Living | Assisted Living Facility | 3758 Avenue B, Billings, MT 59102-7640 | 2007-03-07 |
| 1245383462 | Edgewood Vista | Assisted Living Facility | 1225 Wicks Ln, Billings, MT 59105-4417 | 2007-01-19 |
| Find all providers in BILLINGS | ||||
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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.