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EDGEWOOD MISSOULA SENIOR LIVING LLC NPI 1700062957


NPI Information

NPI: 1700062957
Provider Name: EDGEWOOD MISSOULA SENIOR LIVING LLC
Classification: Alzheimer Center (Dementia Center) - 311500000X
Entity Type: Organization

CLIA Number: 27D1058159

Address:
2815 PALMER ST
MISSOULA, MT
ZIP 59808
Phone: (406) 549-9660
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EDGEWOOD MISSOULA SENIOR LIVING LLC is an alzheimer center dementia center in Missoula, MT. The provider is a freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. EDGEWOOD MISSOULA SENIOR LIVING LLC NPI is 1700062957. The provider is registered as an organization entity type.

The provider's business location address is:

2815 PALMER ST
MISSOULA, MT
ZIP 59808-643
Phone: (406) 549-9660
Fax: (406) 549-4424

The provider's authorized official is Gene Hysjulien .
The authorized official title is Ceo and has the following contact phone number (701) 738-2000.

The CLIA number assigned to this NPI record is 27D1058159 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2008 and was last updated on 1/18/2008.


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
1311500000XAlzheimer Center (Dementia Center)11326MONTANAYes

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: 11/14/2023

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