Great Falls SL, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREAT FALLS SL, LLC

Practice address

1801 9TH St S
Great Falls, MT 59405-5608

Phone

(503) 391-9999

NPI assigned

Nov 27, 2019

Organization subpart

No

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

Authorized official

Name

Douglas Sproul

Title

President- Mosaic Management

Phone

(503) 391-9999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1558907360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HINES ST SE STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021337",
            "telephone_number": "503-391-9999",
            "fax_number": "503-587-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 9TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055608",
            "telephone_number": "503-391-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT FALLS SL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "SPROUL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT- MOSAIC MANAGEMENT",
        "authorized_official_telephone_number": "503-391-9999"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Assisted Living Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.