Active NPI
The Lifeguardgroup
- Case Manager/Care Coordinator
- Missoula, MT
National Provider Identifier
1376411157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- THE LIFEGUARDGROUP
- Practice address
- 1515 Fairview Ave Ste 210
Missoula, MT 59801-7817 - Phone
- (406) 396-5053
- NPI assigned
- Oct 24, 2025
- 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
- Heidi Grace Stockbauer
- Title
- Case Manager
- Phone
- (406) 396-5053
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1515 Fairview Ave Ste 210
Missoula, MT 59801-7817
Mailing address
PO Box 166
Victor, MT 59875-0166
Phone (406) 396-5053
National Provider Directory
National Provider DirectoryLocations
1515 Fairview Ave
Ste 210
Missoula, MT 59801
Phone (406) 396-5053
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Sumner, WA
- NPI 1225662984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1376411157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 166",
"city": "VICTOR",
"state": "MT",
"postal_code": "598750166",
"telephone_number": "406-396-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 FAIRVIEW AVE STE 210",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598017817",
"telephone_number": "406-396-5053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE LIFEGUARDGROUP",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-24",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "STOCKBAUER",
"authorized_official_first_name": "HEIDI",
"authorized_official_middle_name": "GRACE",
"authorized_official_title_or_position": "CASE MANAGER",
"authorized_official_telephone_number": "406-396-5053"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.