Organization Active NPI

Home Park Assisted Living

  • Assisted Living Facility
  • Sheridan, MT
National Provider Identifier
1114515285
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HOME PARK ASSISTED LIVING
Practice address
504 Ray LN
Sheridan, MT 59749-8503
Phone
(406) 842-5133
Fax
(406) 842-5651
NPI assigned
Jan 5, 2021
Last updated
Mar 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Sammie Hansen
Title
Human Resources Manager
Phone
(406) 842-5133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

504 Ray LN
Sheridan, MT 59749-8503

Mailing address

PO Box 899
Sheridan, MT 59749-0899
Phone (406) 842-5133

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1114515285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "SHERIDAN",
            "state": "MT",
            "postal_code": "597490899",
            "telephone_number": "406-842-5133",
            "fax_number": "406-842-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 RAY LN",
            "city": "SHERIDAN",
            "state": "MT",
            "postal_code": "597498503",
            "telephone_number": "406-842-5133",
            "fax_number": "406-842-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PARK ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "SAMMIE",
        "authorized_official_title_or_position": "HUMAN RESOURCES MANAGER",
        "authorized_official_telephone_number": "406-842-5133"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.