Summit Independent Living Center Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SUMMIT INDEPENDENT LIVING CENTER INC

Practice address

3104 W Broadway St
Missoula, MT 59808-1614

Phone

(406) 728-1630

Fax

(406) 829-3309

NPI assigned

Mar 6, 2025

Last updated

Mar 6, 2025By 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

Scott D. Fels

Title

Financial Officer

Phone

(406) 728-1630

Specialties & licenses 4

Addresses

Tax ID family

Summit Independent Living Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Summit Independent Living Center Inc

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1811539703
  NPD tax ID

Locations

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1235937939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 W BROADWAY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 W BROADWAY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081614",
            "telephone_number": "406-728-1630",
            "fax_number": "406-829-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT INDEPENDENT LIVING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "FELS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "406-728-1630"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Grace Sullivan, PA-C
• Nicole Marie Summerday, PHARM D
• Shannon James Summers, M.D.
• Summit Chiropractic PC
• Summit Diabetes Center, PLLC (Summit Diabetes Center)
• Summit Independent Living Center Inc
• Summit Psychotherapy PLLC
• Sunburst Health LLC (Cedar Creek Integrated Health)
• Sunset Fire Counseling, LLC
• Stephanie Suprenant, M.D.

• In Home Supportive Care Agency in Missoula, MT
• Providers in Missoula, MT by specialty
• In Home Supportive Care Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.