Hi-Line Retirement Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10579 Issued in MT

Legal business name

HI-LINE RETIREMENT CENTER

Practice address

801 S 3Rd St E
Malta, MT 59538-8728

Phone

(406) 654-1190

Fax

(406) 654-2233

NPI assigned

Jul 25, 2006

Last updated

Dec 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rick Mikkelson

Title

Board Chairman

Phone

(406) 654-1190

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450915200000",
    "number": "1215950241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S 3RD ST E",
            "city": "MALTA",
            "state": "MT",
            "postal_code": "595388728",
            "telephone_number": "406-654-1190",
            "fax_number": "406-654-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S 3RD ST E",
            "city": "MALTA",
            "state": "MT",
            "postal_code": "595388728",
            "telephone_number": "406-654-1190",
            "fax_number": "406-654-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI-LINE RETIREMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-12-24",
        "status": "A",
        "authorized_official_last_name": "MIKKELSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "406-654-1190"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MT",
            "license": "10579",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "10516",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MT",
            "license": "10515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "0700583",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0310930",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Care Planning Institute, Inc
• Country Home (Duane Murray)
• Megan Davis, LCPC
• Jessica Marie Domire, APRN
• Fallon Handley, LCPC
• Jess NP Family Healthcare
• Kara Meghan Knodel, FNP-C
• Malta Family Health Clinic, PC
• Malta Medical Associates, LLC
• Malta Opportunities, Inc.

• Assisted Living Facility in Malta, MT
• Providers in Malta, 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 Dec 24, 2015; 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.