NPIMap

Organization Active NPI

Home Based Services Initiative, LLC

Doing business as Senior Independence of Montana

  • Home Health Agency
  • Billings, MT
National Provider Identifier
1235483728
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
13206 Issued in MT
Legal business name
HOME BASED SERVICES INITIATIVE, LLC
Doing business as
Senior Independence of Montana
Practice address
3940 Rimrock Road
Billings, MT 59102-0141
Phone
(406) 655-5800
NPI assigned
Nov 5, 2012
Last updated
Sep 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Mr. Jerry Pearsall
Title
President/Cfo
Phone
(406) 655-5684

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 13206 MT Primary
Community Based Hospice Care Agency 251G00000X

Addresses

Primary practice location

3940 Rimrock Road
Billings, MT 59102-0141

Mailing address

3940 Rimrock Road
Billings, MT 59102-0141
Phone (406) 655-5800

Other names 1

  • Senior Independence of Montana Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130923000584 MT Part A Provider - Home Health Agency 3577707009 Practice locations: Billings, MT
O20150413001712 MT Part A Provider - Hospice 3577707009 Practice locations: Billings, MT

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1235483728. Details of each certification follow.

Home health agency certification: CCN 277098

Legal name
HOME BASED SERVICES INITIATIVE, LLC
Doing business as
ST. JOHN'S UNITED HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 30, 2014
Last certification
Jun 7, 2017
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Incorporated
May 3, 2012 in MT
Enrollment address
502 N 30TH St
Billings, MT 59101-1138

Hospice certification: CCN 271534

Legal name
HOME BASED SERVICES INITIATIVE, LLC
Doing business as
ST. JOHN'S UNITED HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 23, 2016
Last certification
Dec 8, 2021
Ownership / control type
Non-Profit - Other
Organization structure
LLCNon-profit
Incorporated
Dec 20, 2013 in MT
Enrollment address
502 N 30TH St
Billings, MT 59101-1138

Care Compare: Home health agency

Medicare Care Compare
Listed as
St John's United Home HealthCCN 277098 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
May 30, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
St Johns United HospiceCCN 271534 · All quality measures
Ownership
Other
Certified
Jun 23, 2016
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Big Sky Senior Services Inc Organization, Billings, MT Non-profit 5% Or Greater Direct Ownership Interest May 3, 2012 5%
Gerald G Pearsall Individual Corporate OfficerChief Financial Officer Jun 1, 2014
Corporate DirectorChief Financial Officer Jun 1, 2014
Operational/Managerial ControlChief Financial Officer Apr 1, 2013
Corporate DirectorDirector Jun 1, 2014
Operational/Managerial ControlChief Financial Officer Dec 20, 2013
Catharine B Rivera Individual Operational/Managerial ControlHome Health Administrator Jun 1, 2013
W-2 Managing EmployeeAdministrator Jun 11, 2013
Billings Clinic Organization, Billings, MT Non-profit 5% Or Greater Direct Ownership Interest May 3, 2012 28.5%
St Johns Lutheran Ministries Inc Organization, Billings, MT Non-profit 5% Or Greater Direct Ownership Interest May 3, 2012 66.5%
Operational/Managerial Control May 3, 2012
Operational/Managerial Control May 3, 2012 100%
David Trost Individual Corporate OfficerPresident & Ceo May 6, 2016
Corporate DirectorPresident & Ceo May 6, 2016
Operational/Managerial ControlPresident & Ceo May 6, 2016
Corporate OfficerPresident May 6, 2016

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 39

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1235483728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 RIMROCK ROAD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591020141",
            "telephone_number": "406-655-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 RIMROCK ROAD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591020141",
            "telephone_number": "406-655-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BASED SERVICES INITIATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "PEARSALL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT/CFO",
        "authorized_official_telephone_number": "406-655-5684",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MT",
            "license": "13206",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Independence of Montana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.