Missoula Health And Rehabilitation Center

LBN: Evergreen At Missoula, L.L.C.
Missoula Health And Rehabilitation Center is an health care organization with primary practice located at 3018 Rattlesnake Dr , Missoula MT 59802-6101. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Evergreen At Missoula, L.L.C. can be contacted via phone (406) 549-0988, or through Miller, Michael J. via phone (360) 892-6628.

Contact Information

Primary practice address
3018 Rattlesnake Dr Missoula MT 59802-6101
Phone: (406) 549-0988
Fax: (406) 549-0111
Website:
Map and Directions
Authorized official contact:
Name: Miller, Michael J.
Phone: (360) 892-6628

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Montana
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X Montana
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 7280 Montana
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Montana

Profile Details

NPI number 1538117940
LBN Legal business name Evergreen At Missoula, L.L.C.
DBA Doing business as Missoula Health And Rehabilitation Center
Authorized official Miller, Michael J.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 5th, 2006
Last updated Jan 20th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538117940 NPPES
Montana MEDICAID 0310029

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