Libby's Lodge of Love LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

0041013001 Issued in MT

Legal business name

LIBBY'S LODGE OF LOVE LLC

Practice address

39042 US Highway 2
Libby, MT 59923-8103

Phone

(140) 629-3333

NPI assigned

May 20, 2010

Last updated

May 20, 2010By 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

Shauna Lynn Firestone

Title

Owner

Phone

(406) 293-3334

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1275852964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39042 US HIGHWAY 2",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599238103",
            "telephone_number": "140-629-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39042 US HIGHWAY 2",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599238103",
            "telephone_number": "140-629-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBBY'S LODGE OF LOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "FIRESTONE",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "14062933334"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MT",
            "license": "0041013001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Libby Drug P.C
• Libby Healthcare LLC (Libby Care Center)
• Libby of Cascadia, LLC
• Libby Schools
• Libby Volunteer Ambulance Service Inc
• Tanner Lightbourne, OD
• Lincare Inc
• Lincoln County Community Health Center Inc (Northwest Community Health Center)
• Lincoln County Community Health Center Inc (Northwest Community Health Center Pharmacy - Hwy 2)
• Lincoln County Community Health Center, Inc (Northwest Community Health Center)

• Adult Care Home Facility in Libby, MT
• Providers in Libby, MT by specialty
• Adult Care Home Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.