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EAGLE PROPERTIES OF GREAT FALLS LLC NPI 1376677492


NPI Information

NPI: 1376677492
Provider Name: EAGLE PROPERTIES OF GREAT FALLS, LLC

Doing Business As: GOLDEN EAGLE PLAZA

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1501 9TH ST S
GREAT FALLS, MT
ZIP 59405
Phone: (406) 453-6521
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EAGLE PROPERTIES OF GREAT FALLS, LLC is an assisted living facility in Great Falls, 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. EAGLE PROPERTIES OF GREAT FALLS, LLC NPI is 1376677492. The provider is registered as an organization entity type.
The provider Is Doing Business As Golden Eagle Plaza.

The provider's business location address is:

1501 9TH ST S
GREAT FALLS, MT
ZIP 59405-531
Phone: (406) 453-6521
Fax: (406) 453-9983

The provider's authorized official is Judy Lindquist .
The authorized official title is Administrator and has the following contact phone number (406) 453-6521.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.


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 Facility10018MONTANAYes

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
10820326MEDICAIDMONTANA

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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