NPIMap

Organization Active NPI

Confederated Salish & Kootenai Tribes of the Flathead Reservation

Doing business as The Retreat Assisted Living

  • Assisted Living Facility
  • Polson, MT
National Provider Identifier
1417723461
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION
Doing business as
The Retreat Assisted Living
Practice address
1303 Rivendell CT
Polson, MT 59860-3368
Phone
(406) 745-3525
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Amber M Terry
Title
Revenue Resource Division Manager
Phone
(406) 745-3525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1303 Rivendell CT
Polson, MT 59860-3368

Mailing address

PO Box 880
Saint Ignatius, MT 59865-0880
Phone (406) 745-3525

Other names 1

  • The Retreat Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Confederated Salish and Kootenai Tribes of the Flathead Reservation4 organizations share this tax ID, including this one
Part of
Confederated Salish and Kootenai Tribes of the Flathead Reservation

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1417723461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598650880",
            "telephone_number": "406-745-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 RIVENDELL CT",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598603368",
            "telephone_number": "406-745-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REVENUE RESOURCE DIVISION MANAGER",
        "authorized_official_telephone_number": "406-745-3525"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Retreat Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Polson, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.