Eagle Properties of Great Falls, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10018 Issued in MT

Legal business name

EAGLE PROPERTIES OF GREAT FALLS, LLC

Doing business as

Golden Eagle Plaza

Practice address

1501 9TH St S
Great Falls, MT 59405-4531

Phone

(406) 453-6521

Fax

(406) 453-9983

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By 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

Judy Lindquist

Title

Administrator

Phone

(406) 453-6521

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden Eagle Plaza Doing business as

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376677492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 9TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054531",
            "telephone_number": "406-453-6521",
            "fax_number": "406-453-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 9TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054531",
            "telephone_number": "406-453-6521",
            "fax_number": "406-453-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE PROPERTIES OF GREAT FALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDQUIST",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "406-453-6521"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MT",
            "license": "10018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0820326",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Eagle Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Great Falls, MT
• Providers in Great Falls, 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 Aug 22, 2020; 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.