VSR LLC NPI 1245268671

NPI Information

  • NPI: 1245268671
  • Provider Name: VSR LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: THE VILLAGE SENIOR RESIDENCE
  • CLIA Number: 27D2079555
  • Address: 2815 OLD FORT RD
    MISSOULA, MT
    ZIP 59804
  • Phone: (406) 549-1300

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NPI Details

VSR LLC is an assisted living facility in Missoula, 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. VSR LLC NPI is 1245268671. The provider is registered as an organization entity type.
The provider Is Doing Business As The Village Senior Residence.

The provider's business location address is:

2815 OLD FORT RD
MISSOULA, MT
ZIP 59804-422
Phone: (406) 549-1300
Fax: (406) 721-1620

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

The CLIA number assigned to this NPI record is 27D2079555 - other - residential care facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 5/30/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility9908MONTANAYes

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: 11/21/2025

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