Pendelton House Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PENDELTON HOUSE ASSISTED LIVING

Practice address

220 N Ceneter Ave
Miles City, MT 59301

Phone

(217) 670-7948

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Deshawn W Pendelton, OWNER

Title

Administrator

Phone

(217) 670-7948

Specialties & licenses 1

Addresses

Other names 1

• TLC personal care home Former legal business name

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1013475011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N CENETER AVE",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "59301",
            "telephone_number": "217-670-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N CENETER AVE",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "59301",
            "telephone_number": "217-670-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDELTON HOUSE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "PENDELTON",
        "authorized_official_first_name": "DESHAWN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-670-7948",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC personal care home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Miles City, MT
• Providers in Miles City, 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 Mar 8, 2019; 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.