Active NPI
Missoula Alf Operations, LLC
- Assisted Living Facility
- Missoula, MT
National Provider Identifier
1609574227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MISSOULA ALF OPERATIONS, LLC
- Doing business as
- Missoula Health & Rehabilitation Center (ALF)
- Practice address
- 3018 Rattlesnake Dr
Missoula, MT 59802-6101 - Phone
- (406) 549-0988
- Fax
- (406) 549-0111
- NPI assigned
- Feb 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yitzchok Yenowitz
- Title
- Authorized Representative
- Phone
- (732) 769-8877
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
3018 Rattlesnake Dr
Missoula, MT 59802-6101
Mailing address
4601 NE 77TH Ave Ste 300
Vancouver, WA 98662-6736
Phone (360) 837-0400
Other names 1
- Missoula Health & Rehabilitation Center (ALF)
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768176000000",
"number": "1609574227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 NE 77TH AVE STE 300",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626736",
"telephone_number": "360-837-0400",
"fax_number": "360-967-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3018 RATTLESNAKE DR",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598026101",
"telephone_number": "406-549-0988",
"fax_number": "406-549-0111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSOULA ALF OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-22",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A",
"authorized_official_last_name": "YENOWITZ",
"authorized_official_first_name": "YITZCHOK",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "732-769-8877"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Missoula Health & Rehabilitation Center (ALF)",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.