Active NPI
North Valley Health Care, Inc.
- Skilled Nursing Facility
- Stevensville, MT
National Provider Identifier
1306837422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 13064
- Legal business name
- NORTH VALLEY HEALTH CARE, INC.
- Doing business as
- The LivingCenter
- Practice address
- 63 Main St
Stevensville, MT 59870-2122 - Phone
- (406) 777-5411
- Fax
- (406) 777-5856
- NPI assigned
- Oct 31, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brad A. Shefloe
- Title
- Owner/Administrator
- Phone
- (406) 777-5411
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 12864 | MT | |
| Skilled Nursing Facility | 314000000X | 13064 | MT | Primary |
Addresses
Primary practice location
63 Main St
Stevensville, MT 59870-2122
Mailing address
63 Main St
Stevensville, MT 59870-2122
Phone (406) 777-5411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310609 | Medicaid | MT |
Other names 1
- The LivingCenter
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342483200000",
"number": "1306837422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 MAIN ST",
"city": "STEVENSVILLE",
"state": "MT",
"postal_code": "598702122",
"telephone_number": "406-777-5411",
"fax_number": "406-777-5856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 MAIN ST",
"city": "STEVENSVILLE",
"state": "MT",
"postal_code": "598702122",
"telephone_number": "406-777-5411",
"fax_number": "406-777-5856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH VALLEY HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-31",
"last_updated": "2012-07-17",
"status": "A",
"authorized_official_last_name": "SHEFLOE",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "406-777-5411",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MT",
"license": "12864",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MT",
"license": "13064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310609",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The LivingCenter",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stevensville, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.