RSL Bozeman, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RSL BOZEMAN, LLC

Practice address

1547 Hunters Way
Bozeman, MT 59718-6170

Phone

(406) 522-5452

Fax

(406) 522-0390

NPI assigned

Jun 25, 2020

Organization subpart

Yes

Parent organization

RADIANT COMPANIES, INC.As reported in NPPES

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

Authorized official

Name

James T. Guffee

Title

President of Manager

Phone

(503) 595-2810

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BOZEMAN LODGE 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

Locations

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1306463385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 SW GREENBURG RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235505",
            "telephone_number": "503-595-2810",
            "fax_number": "503-595-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 HUNTERS WAY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186170",
            "telephone_number": "406-522-5452",
            "fax_number": "406-522-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSL BOZEMAN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIANT COMPANIES, INC.",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "GUFFEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGER",
        "authorized_official_telephone_number": "503-595-2810"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL CARE FACILITY LICENSE",
            "identifier": "13204",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOZEMAN LODGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Louise Rowan, PHARMD
• Salie Marise Rowell, LCPC, NCC
• Danielle Monique Roy, LMT
• Travis Alan Royer
• Kaylie Rozen, ND
• Ruby Frances LLC
• Donald Adam Michael Rudolph
• Gerald Brent Rudolph, LAC
• Anna Rudolphi
• Amy E Rue, MS, MSCIH, LCPC

• Assisted Living Facility in Bozeman, MT
• Providers in Bozeman, 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 Jun 25, 2020; 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.