Organization Active NPI

The Lifeguardgroup

  • Case Manager/Care Coordinator
  • Missoula, MT
National Provider Identifier
1376411157
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Oct 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heidi Grace StockbauerNPI 1225662984
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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.