Active NPI
Superior Care Villa
- Assisted Living Facility
- Baker, MT
National Provider Identifier
1124906557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SUPERIOR CARE VILLA
- Practice address
- 101 S 2ND St W
Baker, MT 59313-9377 - Phone
- (406) 778-3201
- NPI assigned
- Aug 25, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Michelle Shumaker
- Title
- Owner, Admin., RN
- Phone
- (406) 778-3201
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
101 S 2ND St W
Baker, MT 59313-9377
Mailing address
PO Box 1177
Baker, MT 59313-1177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2025.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756080000000",
"number": "1124906557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1177",
"city": "BAKER",
"state": "MT",
"postal_code": "593131177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S 2ND ST W",
"city": "BAKER",
"state": "MT",
"postal_code": "593139377",
"telephone_number": "406-778-3201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR CARE VILLA",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-24",
"status": "A",
"authorized_official_last_name": "SHUMAKER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER, ADMIN., RN",
"authorized_official_telephone_number": "406-778-3201"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baker, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.