KALISPELL VENTURES LLC NPI 1922135110

NPI Information

  • NPI: 1922135110
  • Provider Name: KALISPELL VENTURES LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: PRESTIGE ASSISTED LIVING AT KALISPELL
  • CLIA Number: 27D2009196
  • Address: 125 GLENWOOD DR
    KALISPELL, MT
    ZIP 59901
  • Phone: (406) 756-1818

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NPI Details

KALISPELL VENTURES LLC is an assisted living facility in Kalispell, 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. KALISPELL VENTURES LLC NPI is 1922135110. The provider is registered as an organization entity type.
The provider Is Doing Business As Prestige Assisted Living At Kalispell.

The provider's business location address is:

125 GLENWOOD DR
KALISPELL, MT
ZIP 59901-075
Phone: (406) 756-1818
Fax: (406) 756-0583

The provider's authorized official is Gregory J Vislocky .
The authorized official title is Managing Member and has the following contact phone number (360) 735-7155.

The CLIA number assigned to this NPI record is 27D2009196 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility10313MONTANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1681292MEDICAIDMONTANA

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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