Millpond Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MILLPOND HOME

Practice address

320 Mission Dr
St Ignatius, MT 59865-9676

Phone

(406) 745-3222

Fax

(406) 745-3222

NPI assigned

Nov 16, 2007

Last updated

Nov 16, 2007By 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

Mrs. Debbie Jean Staat

Title

Owner

Phone

(406) 745-3222

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1366623480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MISSION DR",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598659676",
            "telephone_number": "406-745-3222",
            "fax_number": "406-745-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MISSION DR",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598659676",
            "telephone_number": "406-745-3222",
            "fax_number": "406-745-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLPOND HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "STAAT",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "14067453222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1562063",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn McElderry, LCSW
• Tamara Lee McKeeman, DENTAL HYGIENIST
• Sarin McKenna, DMD
• Crystal Meyer
• Manuel Miller, RD
• Mission Drug LLC (Mission Drug)
• Mission Mountains Osteopathy
• Mission Valley Ambulance
• Mission Valley Health Clinic, Incorporated
• Mission Valley Speech Therapy,LLC

• Assisted Living Facility in St Ignatius, MT
• Providers in St Ignatius, 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 Nov 16, 2007; 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.