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WESTPARK VILLAGE LLC NPI 1255372132


NPI Information

NPI: 1255372132
Provider Name: WESTPARK VILLAGE LLC

Doing Business As: WESTPARK VILLAGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 27D2079556

Address:
2351 SOLOMON AVE
BILLINGS, MT
ZIP 59102
Phone: (406) 652-4886
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WESTPARK VILLAGE LLC is an assisted living facility in Billings, MT. The provider is 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. WESTPARK VILLAGE LLC NPI is 1255372132. The provider is registered as an organization entity type.
The provider Is Doing Business As Westpark Village.

The provider's business location address is:

2351 SOLOMON AVE
BILLINGS, MT
ZIP 59102-879
Phone: (406) 652-4886
Fax: (406) 652-5674

The provider's authorized official is John B Goodman .
The authorized official title is President Of Managing Member and has the following contact phone number (952) 361-8000.

The CLIA number assigned to this NPI record is 27D2079556 - other - rcf with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 3/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility9973MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1620245MEDICAIDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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