RSL BOZEMAN, LLC (NPI# 1306463385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306463385 |
Entity Type | Organization |
Organization Name | RSL BOZEMAN, LLC |
Practice Address |
1547 Hunters Way Bozeman MT 59718-6170 |
Mailing Address |
10220 Sw Greenburg Rd Ste 201 Portland OR 97223-5505 |
Practice Telephone | 4065225452 |
Practice Fax Number | 4065220390 |
Mailing Telephone | 5035952810 |
Mailing Fax Number | 5035952818 |
Enumeration Date | 2020-06-25 |
Last Update Date | 2020-06-25 |
Authorized Official Name | JAMES T. GUFFEE (PRESIDENT OF MANAGER) |
Authorized Official Telephone | 5035952810 |
Is Organization Subpart | Y |
Parent Organization Name | RADIANT COMPANIES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | RESIDENTIAL CARE FACILITY LICENSE | 13204 | 01 |
Other Name | Type Code |
---|---|
BOZEMAN LODGE | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | RSL BOZEMAN, LLC | 10220 Sw Greenburg Rd Ste 201, Portland, OR 97223 |
Street Address |
1547 HUNTERS WAY |
City | BOZEMAN |
State | MT |
Zip Code | 59718-6170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932459963 | Melissa L. Wustner | Massage Therapist | 1547 Hunters Way, Bozeman, MT 59718-6170 | 2012-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
Find all providers in zip 59718 |
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 |
---|---|---|---|---|
1487967592 | Hyalite Country Care, LLC. | Assisted Living Facility | 6040 S 3rd Rd, Bozeman, MT 59715-8904 | 2010-07-17 |
1891830220 | Emeritus Corporation | Assisted Living Facility | 3175 Graf St, Bozeman, MT 59715-7160 | 2007-02-21 |
1922100445 | Hamilton House | Assisted Living Facility | 9430 Haggerty Ln, Bozeman, MT 59715-9263 | 2006-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689274185 | Primrose Inc | Assisted Living Facility | 1349 Lake Elmo Dr, Billings, MT 59105-1759 | 2020-10-26 |
1619594991 | The Legacy Assisted Living LLC | Assisted Living Facility | 624 Ptarmigan Ln, Helena, MT 59602-0557 | 2020-07-02 |
1487270054 | Echoview Assisted Living, LLC | Assisted Living Facility | 1373 Whitefish Stage, Kalispell, MT 59901-2747 | 2020-06-19 |
1992336549 | Heartland Life, LLC | Assisted Living Facility | 8874 Us Highway 212, Roberts, MT 59070-9638 | 2020-02-03 |
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 |
1013475011 | Pendelton House Assisted Living | Assisted Living Facility | 220 N Ceneter Ave, Miles City, MT 59301 | 2019-03-08 |
1780153700 | Hidden Meadow Management LLC | Assisted Living Facility | 240 Hidden Meadow Ln, Columbia Falls, MT 59912-8967 | 2018-11-20 |
1497220347 | Montana Quality Living, LLC | Assisted Living Facility | 205 N Wisconsin St, Conrad, MT 59425-1600 | 2018-10-08 |
1225511231 | Kris Miller | Assisted Living Facility | 12 Bessler Rd, Montana City, MT 59634-9664 | 2018-09-14 |
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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.