Azalea Place Adult Family Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

10900 Issued in MT

Legal business name

AZALEA PLACE ADULT FAMILY HOME

Practice address

1 Prospect Dr
Great Falls, MT 59405-4119

Phone

(406) 452-4500

Fax

(406) 452-4500

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Art D Simons

Title

Administrator

Phone

(406) 452-4500

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig L Treptow, MD

  • Family Medicine Physician
  • Great Falls, MT
  • NPI 1871695320
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1386850899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PROSPECT DR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054119",
            "telephone_number": "406-452-4500",
            "fax_number": "406-452-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROSPECT DR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054119",
            "telephone_number": "406-452-4500",
            "fax_number": "406-452-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA PLACE ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "ART",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "406-452-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MT",
            "license": "10900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H Avery, MD
• Susan H. Avery, MD
• Lily Avgustovskiy
• Muhammad Asad Ullah Awan, MBBS
• Steven Jay Ayres, M.D.
• Chad Joseph Baarson, D.O.
• Deanna L Babb, APRN, DNP
• Gwendolyn D Babineau
• Back and Neck Clinic of Great Falls, P.C.
• Lori Lee Badgley, LCPC, LAC

• Adult Care Home Facility in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Adult Care Home Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.