NPIMap

Organization Active NPI

Flor-Haven Home LLC

  • Long Term Care Hospital
  • Missoula, MT
National Provider Identifier
1548579105
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
12245 Issued in MT
Legal business name
FLOR-HAVEN HOME LLC
Practice address
433 S 3Rd St W
Missoula, MT 59801-2519
Phone
(406) 542-2598
Fax
(406) 542-2598
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Jan Overbaugh
Title
Administrator
Phone
(406) 542-2598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 12245 MT Primary

Addresses

Primary practice location

433 S 3Rd St W
Missoula, MT 59801-2519

Mailing address

433 S 3Rd St W
Missoula, MT 59801-2519
Phone (406) 542-2598

National Provider Directory

National Provider Directory
Tax ID family
Flor Haven Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

433 S 3rd St W
Missoula, MT 59801
Phone (406) 542-2598

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1548579105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012519",
            "telephone_number": "406-542-2598",
            "fax_number": "406-542-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012519",
            "telephone_number": "406-542-2598",
            "fax_number": "406-542-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOR-HAVEN HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "OVERBAUGH",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "406-542-2598"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "MT",
            "license": "12245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

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