Headwaters Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HEADWATERS ASSISTED LIVING LLC

Practice address

304 Wilson Butte Rd
Great Falls, MT 59405-8404

Phone

(406) 531-4450

NPI assigned

Jan 30, 2023

Organization subpart

No

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

Authorized official

Name

Raylene FranklinNPI 1467582130

Title

Owner

Phone

(406) 531-4450

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raylene Joyann Franklin, LAC, LCSW

  • Case Manager/Care Coordinator
  • Great Falls, MT
  • NPI 1467582130
  NPD Authorized official

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1619683984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BANJO HILL LN",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046121",
            "telephone_number": "406-531-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WILSON BUTTE RD",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594058404",
            "telephone_number": "406-531-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWATERS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "RAYLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-531-4450"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Jean Hass, OTR/L
• Jamie Lei Hauer, MFT
• Brandon Hawk, FNP
• Kylie M Hawkins, ABOC
• Melinda G Hayes, MSC
• Hear Here LLC
• Hearing Montana, Inc.
• Heart and Soul Health LLC
• Benjamin J Heaton, M.D.
• Kimberly B Heck, FNP

• 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 Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.