Cedar Wood Villa

LBN: Kismet Red, Llc
Cedar Wood Villa is an health care organization with primary practice located at 1 S Oaks Ave , Red Lodge MT 59068. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Kismet Red, Llc can be contacted via phone (406) 446-2525, or through Moore, Michael via phone (605) 642-7736.

Contact Information

Primary practice address
1 S Oaks Ave Red Lodge MT 59068
Phone: (406) 446-2525
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, Michael
Phone: (605) 642-7736

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10167 Montana

Profile Details

NPI number 1326047150
LBN Legal business name Kismet Red, Llc
DBA Doing business as Cedar Wood Villa
Authorized official Moore, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2005
Last updated Mar 19th, 2019 - about 7 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 1326047150 NPPES
Montana MEDICAID 312117

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