Lacasa Personal Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11247 Issued in MT

Legal business name

LACASA PERSONAL CARE

Practice address

408 Lasater Ave
Plentywood, MT 59254-2070

Phone

(406) 765-1669

Fax

(406) 765-2886

NPI assigned

Oct 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diane Luisa Spoklie

Title

Administrative Assistant

Phone

(406) 765-1669

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1013105311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 LASATER AVE",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "592542070",
            "telephone_number": "406-765-1669",
            "fax_number": "406-765-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 LASATER AVE",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "592542070",
            "telephone_number": "406-765-1669",
            "fax_number": "406-765-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACASA PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "SPOKLIE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "406-765-1669"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MT",
            "license": "11247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7752102",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Kay Johnson
• Stephanie Kanning, FNP
• Jaycie Dawn Kavon, DPT
• Susan E. Kavon, R.D.H.
• Kimberly Marie Kittelson
• Tom Richard Lidahl, D.M.D.
• Robert Conway Mann
• Kelley McCrory, SLP-CCC
• Homan Miraliakbari, M.D.
• Montana Vamc

• Assisted Living Facility in Plentywood, MT
• Providers in Plentywood, MT by specialty
• Assisted Living Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.