NPIMap

Organization Active NPI

Livingston Healthcare

  • Home Health Agency
  • Livingston, MT
National Provider Identifier
1689641284
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10227 Issued in MT
Legal business name
LIVINGSTON HEALTHCARE
Practice address
320 Alpenglow LN
Livingston, MT 59047-8506
Phone
(406) 823-6430
Fax
(406) 823-6440
NPI assigned
Mar 2, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Debra Anczak
Title
Ceo
Phone
(406) 823-6411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10227 MT Primary

Addresses

Primary practice location

320 Alpenglow LN
Livingston, MT 59047-8506

Mailing address

320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 823-6430

Other identifiers 2

IdentifierTypeStateIssuer
0740038MedicaidMT
30300OtherMTBCBS

Other names 1

  • Livingston HealthCare Home Health and Hospice Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100616000414 MT Part A Provider - Home Health Agency 5991613598 Practice locations: Livingston, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689641284. Details of each certification follow.

Home health agency certification: CCN 277060

Legal name
LIVINGSTON HEALTHCARE
Doing business as
LIVINGSTON HEALTHCARE HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 14, 1989
Last certification
Oct 31, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Dec 24, 1946 in MT
Enrollment address
320 Alpenglow LN
Livingston, MT 59047-8506

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Livingston Healthcare Home Health and HospiceCCN 277060 · All quality measures
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Apr 14, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Livingston Mem Hospital17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bruce E Whitfield Individual Corporate OfficerChief Executive Officer Mar 1, 2023
W-2 Managing EmployeeChief Executive Officer Mar 1, 2023
Courtney Konop Individual Corporate Director Nov 12, 2025
Steven W Caldwell Individual Corporate OfficerTreasurer Jul 1, 2023
Jennifer Carmody Individual Corporate Director Jul 1, 2023
Matthew Groenig Individual W-2 Managing EmployeeChief Financial Officer Nov 3, 2025
William Lee Kinsey Individual Corporate OfficerChair Jun 2, 2021
Michael Atkinson Individual Corporate Director Oct 2, 2024
Elizabeth Lewis Individual Corporate Director Jun 2, 2021
Henry Pinango Individual Corporate Director Jul 1, 2024
Justin K Roberts Individual Corporate Director Jul 1, 2022
Molly Ballard Individual Corporate Director Nov 12, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689641284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ALPENGLOW LN",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590478506",
            "telephone_number": "406-823-6430",
            "fax_number": "406-823-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ALPENGLOW LN",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590478506",
            "telephone_number": "406-823-6430",
            "fax_number": "406-823-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "ANCZAK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-823-6411"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MT",
            "license": "10227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0740038",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30300",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livingston HealthCare Home Health and Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Livingston, MT

Sources for this page

Verify at the official NPI Registry.