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IVY AT GREAT FALLS LLC NPI 1891332896


NPI Information

NPI: 1891332896
Provider Name: IVY AT GREAT FALLS LLC
Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 27D0858229

Address:
1130 17TH AVE S
GREAT FALLS, MT
ZIP 59405
Phone: (406) 771-4500
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IVY AT GREAT FALLS LLC is a skilled nursing facility in Great Falls, MT. The provider is (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. IVY AT GREAT FALLS LLC NPI is 1891332896. The provider is registered as an organization entity type.

The provider's business location address is:

1130 17TH AVE S
GREAT FALLS, MT
ZIP 59405-523
Phone: (406) 771-4500

The provider's authorized official is Ryan Morris Coane .
The authorized official title is Chief Operating Officer and has the following contact phone number (305) 912-9260.

The CLIA number assigned to this NPI record is 27D0858229 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2019 and was last updated on 1/12/2021.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2225X00000XOccupational TherapistNo
3235Z00000XSpeech-Language PathologistNo
4225100000XPhysical TherapistNo
5314000000XSkilled Nursing FacilityYes

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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