Active NPI
Century Village Inc
- Assisted Living Facility
- Missoula, MT
National Provider Identifier
1619015898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 10956
- Legal business name
- CENTURY VILLAGE INC
- Practice address
- 2120 S Reserve St PMB 117
Missoula, MT 59801-6451 - Phone
- (406) 543-1929
- NPI assigned
- Feb 1, 2007
- 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
- Donna Kay Jennings
- Title
- Owner
- Phone
- (406) 543-1929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 10956 | MT | Primary |
Addresses
Primary practice location
2120 S Reserve St PMB 117
Missoula, MT 59801-6451
Mailing address
100 Hamilton CT
Manhattan, MT 59741-8160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0640934 | Medicaid | MT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1619015898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HAMILTON CT",
"city": "MANHATTAN",
"state": "MT",
"postal_code": "597418160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 S RESERVE ST PMB 117",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016451",
"telephone_number": "406-543-1929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTURY VILLAGE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-543-1929"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MT",
"license": "10956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0640934",
"state": "MT"
}
],
"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 Aug 22, 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.