Organization Active NPI

North Valley Health Care, Inc.

  • Skilled Nursing Facility
  • Stevensville, MT
National Provider Identifier
1306837422
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
13064 Issued in MT
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

Updated by the provider on Jul 17, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
310609MedicaidMT

Other names 1

  • The LivingCenter Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.