VSR LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

9908 Issued in MT

Legal business name

VSR LLC

Practice address

2815 Old Fort Rd
Missoula, MT 59804-7422

Phone

(406) 549-1300

Fax

(406) 721-1620

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John B Goodman

Title

President

Phone

(952) 361-8000

Specialties & licenses 1

Addresses

Other names 1

• THE VILLAGE SENIOR RESIDENCE Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1245268671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD",
            "address_2": "SUITE 200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181009",
            "telephone_number": "952-361-8000",
            "fax_number": "952-361-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 OLD FORT RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047422",
            "telephone_number": "406-549-1300",
            "fax_number": "406-721-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-361-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MT",
            "license": "9908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE VILLAGE SENIOR RESIDENCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janneke A Volkert, M.D.
• Melissa Voller, M.A.
• Sydney Shea Von Bergen, ATS
• Peter Gordon Vondoersten, MD
• Lesley B Voneschen, PA-C
• Tahani Vulpis
• W Chiropractic Incorporated
• Waddell Counseling PLLC
• Jeri L Waddell, LCPC
• Wading Waters Therapy LLC

• Assisted Living Facility in Missoula, MT
• Providers in Missoula, 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 May 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.