Gwendolyn D Babineau
Individual provider Active NPI Adult Care Home Facility · Great Falls, MT
NPI 1023880929 · NPPES record last updated Oct 24, 2023
Key facts
- NPI
- 1023880929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- 000000035 (MT)
- Practice address
- 3616 1St Ave S
Great Falls, MT 59401-3522 - Phone
- (406) 315-3167
- Fax
- (406) 315-3164
- NPI assigned
- Oct 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000035 | MT | MD | Adult Care Home Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowered Living Solutions | Adult Care Home | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 000000035 | MT | Yes |
Addresses
Primary practice location
3616 1St Ave S
Great Falls, MT 59401-3522
Mailing address
3616 1St Ave S
Great Falls, MT 59401-3522
Phone (406) 315-3167
Other providers in Great Falls, MT
- Muhammad Asad Ullah Awan
- Steven Jay Ayres
- Azalea Place Adult Family Home
- Chad Joseph Baarson
- Deanna L Babb
- Back and Neck Clinic of Great Falls, P.C.
- Lori Lee Badgley
- Robert Roger Baerman
- Crystal Marie Bahnson
- Elias J. Baied
All providers in Great Falls, MT · Adult Care Home Facility in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.