Ivy at Deer Lodge LLC

Key facts

NPI

1356988349

Entity type

Organization (NPI type 2)

Primary specialty

Skilled Nursing Facility 314000000X

Legal business name

IVY AT DEER LODGE LLC

Practice address

1100 Texas Ave
Deer Lodge, MT 59722-1829

Phone

(406) 846-1655

NPI assigned

Dec 9, 2019

Organization subpart

No

Authorized official

Name

Mr. Ryan Morris Coane

Title

Chief Operating Officer

Phone

(305) 912-9260

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle K Howard, M.D. Family Medicine Physician · Deer Lodge, MT · NPI 1265585608
  NPD (past)

Medicare Care Compare: Nursing home

Listed as

Ivy at Deer Lodge CCN 275134

Overall star rating

★☆☆☆☆ 1 of 5

Health inspections

★☆☆☆☆ 1 of 5

Staffing

★★★★☆ 4 of 5

Quality measures

★★★☆☆ 3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 1989

Medicare certification status

Active (Provider of Services file)

Certified beds

60 · 39.3 residents per day on average

Chain

Ivy Healthcare Group (4 facilities)

Penalties (3 years)

2 · fines totaling $103,309

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MT

Skilled nursing facility certification: CCN 275134

Legal name

IVY AT DEER LODGE LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1989

Last certification

Oct 10, 2024

Beds

60

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Ivy Healthcare Group

Organization structure

LLC · Proprietary

Incorporated

May 16, 2019 in MT

Enrollment address

1100 Texas Ave
Deer Lodge, MT 59722-1829

Nursing home name

IVY AT DEER LODGE

Affiliated entity

IVY HEALTHCARE GROUP

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2021.

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1356988349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9429 HARDING AVE # 141",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331542803",
            "telephone_number": "305-912-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TEXAS AVE",
            "city": "DEER LODGE",
            "state": "MT",
            "postal_code": "597221829",
            "telephone_number": "406-846-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY AT DEER LODGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "COANE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "305-912-9260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Lodge, MT

• Haley Owens OD
• Harris Home Care LLC
• Dana Marie Harris, SWLC
• Dawn Heiydt
• Michelle K Howard, M.D.
• Keystone Drug LLP
• Tristan E Kohut, DO
• Patrick Joseph Krach, MD
• Patricia J Lacey, RPH
• Leonard & David Vainio PC

All providers in Deer Lodge, MT · Skilled Nursing Facility in Montana