HEADWATERS ASSISTED LIVING LLC NPI 1619683984

NPI Information

  • NPI: 1619683984
  • Provider Name: HEADWATERS ASSISTED LIVING LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 27D2310632
  • Address: 304 WILSON BUTTE RD
    GREAT FALLS, MT
    ZIP 59405
  • Phone: (406) 531-4450

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NPI Details

HEADWATERS ASSISTED LIVING 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. HEADWATERS ASSISTED LIVING LLC NPI is 1619683984. The provider is registered as an organization entity type.

The provider's business location address is:

304 WILSON BUTTE RD
GREAT FALLS, MT
ZIP 59405-404
Phone: (406) 531-4450

The provider's authorized official is Raylene Franklin .
The authorized official title is Owner and has the following contact phone number (406) 531-4450.

The CLIA number assigned to this NPI record is 27D2310632 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2023 and was last updated on 10/11/2023.

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
1251S00000XCommunity/Behavioral HealthNo
2310400000XAssisted Living 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: 11/21/2025

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