Active NPI
Chanda Rochelle Anderson
- Adult Care Home Facility
- Livingston, MT
National Provider Identifier
1376771485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 27-0347549
- Practice address
- 14 Coulee Dr
Livingston, MT 59047-1546 - Phone
- (406) 222-7578
- NPI assigned
- Jun 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27-0347549 | MT | MD | Adult Care Home Facility |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 27-0347549 | MT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
14 Coulee Dr
Livingston, MT 59047-1546
Mailing address
14 Coulee Dr
Livingston, MT 59047-1546
Phone (406) 222-7578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2009.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1376771485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 COULEE DR",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590471546",
"telephone_number": "406-222-7578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 COULEE DR",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590471546",
"telephone_number": "406-222-7578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CHANDA",
"middle_name": "ROCHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-26",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "MT",
"license": "27-0347549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.