SWEETWATER GF OPCO LLC (NPI# 1366951030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366951030 |
| Entity Type | Organization |
| Organization Name | SWEETWATER GF OPCO LLC |
| Other Organization Name | PARK PLACE TRANSITIONAL CARE AND RAHABILITATION |
| Practice Address |
1500 32nd St S Great Falls MT 59405 |
| Mailing Address |
662 Encinitas Blvd Ste 230 Encinitas CA 92024-6792 |
| Practice Telephone | 4067614300 |
| Mailing Telephone | 8583533849 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2018-07-25 |
| Authorized Official Name | AARON CHESLEY (OWNER) |
| Authorized Official Telephone | 8583533849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Park Place Transitional Care | Doing Business As Name - Organization |
| Park Place Transitional Care and Rahabilitation | Doing Business As Name - Organization |
| Street Address |
1500 32ND ST S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871501098 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1500 32nd St S, Great Falls, MT 59405-5300 | 2006-08-03 |
| 1497252746 | Casey Lee Sievers | Occupational Therapist | 1500 32nd St S, Great Falls, MT 59405-5300 | 2018-04-11 |
| 1063670834 | Tera Weigand | Physical Therapy Assistant | 1500 32nd St S, Great Falls, MT 59405-5300 | 2008-05-29 |
| 1093973315 | Candice Lee Short | Occupational Therapy Assistant | 1500 32nd St S, Great Falls, MT 59405-5300 | 2008-05-23 |
| 1790943009 | Suzanne Walter | Occupational Therapy Assistant | 1500 32nd St S, Great Falls, MT 59405-5300 | 2008-05-23 |
| 1104083534 | Christopher Lyle Crisman | Occupational Therapy Assistant | 1500 32nd St S, Great Falls, MT 59405-5300 | 2008-05-22 |
| 1215194600 | Barbara Gleason | Physical Therapist | 1500 32nd St S, Great Falls, MT 59405-5300 | 2008-05-22 |
| 1346407996 | Karen J Miszler | Physical Therapy Assistant | 1500 32nd St S, Great Falls, MT 59405-5300 | 2008-05-21 |
| 1083883490 | Park Place Wheel Chair Transport | Non-emergency Medical Transport (VAN) | 1500 32nd St S, Great Falls, MT 59405-5300 | 2008-02-29 |
| 1336351972 | Dorene Allis | Occupational Therapist | 1500 32nd St S, Great Falls, MT 59405-5300 | 2007-05-04 |
| 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 |
| 1891332896 | Ivy At Great Falls LLC | Skilled Nursing Facility | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2019-12-09 |
| 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 |
| Find all providers in GREAT FALLS | ||||
| 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.