THE PINES OF POLSON, INC (NPI# 1750684817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750684817 |
Entity Type | Organization |
Organization Name | THE PINES OF POLSON, INC |
Practice Address |
405 6th Ave W Polson MT 59860-2650 |
Practice Telephone | 4065605786 |
Mailing Telephone | 4065605786 |
Enumeration Date | 2010-12-13 |
Last Update Date | 2010-12-13 |
Authorized Official Name | ILENE S. ARBAUGH (OWNER/ADMINISTRATOR) |
Authorized Official Telephone | 4065605786 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 12475 | MT | Nursing & Custodial Care Facilities |
Street Address |
405 6TH AVE W |
City | POLSON |
State | MT |
Zip Code | 59860-2650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
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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 |
---|---|---|---|---|
1548551468 | Paladin Enterprises, Inc. | Assisted Living Facility | 1303 Rivendell Ct, Polson, MT 59860-3368 | 2011-04-26 |
1285796920 | Providence St Joseph Medical Center | Assisted Living Facility | 11 17th Ave E, Polson, MT 59860-4083 | 2006-12-15 |
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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.