Gwendolyn D Babineau

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

000000035 Issued in 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

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowered Living Solutions

  • Adult Care Home Facility
  • Idaho Falls, ID
  • NPI 1649019837
  NPD Authorized official

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1023880929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 1ST AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013522",
            "telephone_number": "406-315-3167",
            "fax_number": "406-315-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 1ST AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013522",
            "telephone_number": "406-315-3167",
            "fax_number": "406-315-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABINEAU",
        "first_name": "GWENDOLYN",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MT",
            "license": "000000035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Asad Ullah Awan, MBBS
• Steven Jay Ayres, M.D.
• Azalea Place Adult Family Home
• Chad Joseph Baarson, D.O.
• Deanna L Babb, APRN, DNP
• Back and Neck Clinic of Great Falls, P.C.
• Lori Lee Badgley, LCPC, LAC
• Robert Roger Baerman, RD
• Crystal Marie Bahnson, CPNP
• Elias J. Baied, DO

• Adult Care Home Facility in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Adult Care Home Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.