Organization Active NPI

Century Village Inc

  • Assisted Living Facility
  • Missoula, MT
National Provider Identifier
1619015898
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10956 Issued in MT
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0640934MedicaidMT

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.