EDGEWOOD VISTA


Address: 2815 Palmer St, Missoula, MT 59808-1643
Phone: 4065499660

EDGEWOOD VISTA (NPI# 1366595597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366595597
Entity Type Organization
Organization Name EDGEWOOD VISTA
Practice Address 2815 Palmer St
Missoula
MT 59808-1643
Mailing Address Po Box 13336
Grand Forks
ND 58208-3336
Practice Telephone 4065499660
Mailing Fax Number 7017382001
Enumeration Date 2007-01-19
Last Update Date 2020-08-22
Authorized Official Name BRETT WILKENING (BILLING)
Authorized Official Telephone 7017382000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility 10029 MT Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MT 840191 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245383462 Edgewood Vista Assisted Living Facility 1225 Wicks Ln, Billings, MT 59105-4417 2007-01-19
1285787481 Edgewood Vista Assisted Living Facility 705 17th St N, Virginia, MN 55792-2176 2007-01-19
1790838977 Edgewood Vista Assisted Living Facility 608 5th Ave Nw, East Grand Forks, MN 56721-1738 2007-01-19
1720131931 Edgewood Vista Assisted Living Facility 1011 Cardinal Dr, Belgrade, MT 59714-8373 2007-01-19
1407909633 Edgewood Vista Assisted Living Facility 141 Interstate Ln, Kalispell, MT 59901-2877 2007-01-19
1356494520 Edgewood Vista Assisted Living Facility 14890 Beaver Dam Rd, Brainerd, MN 56401-6019 2007-01-19
1982757175 Edgewood Vista Assisted Living Facility 4195 Westberg Rd, Hermantown, MN 55811-3916 2007-01-19

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations EDGEWOOD VISTA, LLC 21708 Se 245th St, Maple Valley, WA 98038

Office Location

Street Address 2815 PALMER ST
City MISSOULA
State MT
Zip Code 59808-1643

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700062957 Edgewood Missoula Senior Living LLC Alzheimer Center (Dementia Center) 2815 Palmer St, Missoula, MT 59808-1643 2008-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447720875 Megan Elizabeth Galliford Behavioral Analyst 1647 Shindig Dr, Apt 303, Missoula, MT 59808 2018-11-28
1518473560 Willow Mahana Nelson Griffith Registered Nurse 2829 Great Northern Loop Ste 300, Missoula, MT 59808 2017-12-28
1043739428 Carol Elizabeth Mckenzie Student in an Organized Health Care Education/Training Program 2705 Oshaughnessy St, Missoula, MT 59808 2017-09-16
1558884064 Sharon Marie Herndon Nurse Practitioner 2230 N Reserve St Ste 402, Missoula, MT 59808 2017-07-18
1427594761 Erin Boggs Specialist/Technologist 2921 Dublin St, Missoula, MT 59808 2017-01-10
1942603287 Benjamin Cody Mcintosh Chiropractor 1070 N. Russell St., Missoula, MT 59808 2014-10-01
1518219617 Pure Medical Inc Ambulance 5515 Bonanza Place, Missoula, MT 59808 2012-10-12
1932462231 Kathleen F Calcagno Specialist/Technologist 2615 Connery Way, Suite 2b, Missoula, MT 59808 2012-06-21
1639454127 Dentyn Dunaway Pharmacist 2527 N Reserve Street, Missoula, MT 59808 2011-10-15
1750557690 Carl Thornblade, Md, Pllc Allergy & Immunology 2801 Great Northern Loop Ste 101, Missoula, MT 59808 2008-04-30
Find all providers in zip 59808

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003318759 Senescence Care, Inc. Assisted Living Facility 3000 St Thomas Dr, Missoula, MT 59803-2946 2018-03-07
1629475256 Grandma's House Inc. Assisted Living Facility 2327 39th St, Missoula, MT 59803-1124 2014-11-25
1891057477 The Heights Assisted Living Facility 901 Ben Hogan Dr, Missoula, MT 59803-2402 2012-06-11
1861677171 Flor Haven Home LLC Assisted Living Facility 433 S 3rd St W, Missoula, MT 59801-2519 2008-01-04
1790802593 Gary Alan Wingfield Assisted Living Facility 1300 Speedway Ave, Missoula, MT 59802-5566 2007-03-25
1184749863 Bonnie Kolden Dba Pleasant View Personal Care Home Assisted Living Facility 4322 W Central Ave, Missoula, MT 59804-6216 2007-03-20
1619015898 Century Village Inc Assisted Living Facility 2120 S Reserve St Pmb 117, Missoula, MT 59801-6451 2007-02-01
1245268671 Vsr LLC Assisted Living Facility 2815 Old Fort Rd, Missoula, MT 59804-7422 2006-06-28
1609811306 Hillside Health Care Center, LLC Assisted Living Facility 4718 23rd Ave, Suite 300, Missoula, MT 59803-1163 2006-06-17
1801454327 Welltower Tenant Group, LLC Assisted Living Facility 3620 American Way, Missoula, MT 59808-1379 2019-05-30
Find all providers in MISSOULA

Competitor

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City MISSOULA
Zip Code 59808

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Dataset Information

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.

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