Organization Active NPI

Hyalite Country Care, LLC.

  • Assisted Living Facility
  • Bozeman, MT
National Provider Identifier
1487967592
Registry record updated Jul 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12302 Issued in MT
Legal business name
HYALITE COUNTRY CARE, LLC.
Practice address
6040 S 3Rd Rd
Bozeman, MT 59715-8904
Phone
(406) 219-3241
NPI assigned
Jul 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2010

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

Authorized official

Name
Mrs. Leann C Bunn
Title
Administrator/Owner
Phone
(406) 219-3241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12302 MT Primary

Addresses

Primary practice location

6040 S 3Rd Rd
Bozeman, MT 59715-8904

Mailing address

6040 S 3Rd Rd
Bozeman, MT 59715-8904
Phone (406) 219-3241

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279324800000",
    "number": "1487967592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 S 3RD RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158904",
            "telephone_number": "406-219-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 S 3RD RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158904",
            "telephone_number": "406-219-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYALITE COUNTRY CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-17",
        "last_updated": "2010-07-17",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "LEANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "406-219-3241",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MT",
            "license": "12302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2010; 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.