Active NPI
Ldyboss LLC
- Assisted Living Facility
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- LDYBOSS LLC
- Practice address
- 1009 3Rd Ave N
Great Falls, MT 59401-1507 - Phone
- (406) 452-6400
- Fax
- (406) 452-2250
- NPI assigned
- Mar 24, 2026
- Last updated
- Mar 24, 2026
- 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
- Terra Fisk
- Title
- Owner/Administrator
- Phone
- (406) 781-4827
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
1009 3Rd Ave N
Great Falls, MT 59401-1507
Mailing address
1009 3Rd Ave N
Great Falls, MT 59401-1507
Phone (406) 452-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001616496 | Medicaid | MT |
National Provider Directory
National Provider Directory- Tax ID family
- Ldyboss LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Great Falls, MT
- NPI 1972476257
Locations
1009 3rd Ave N
Great Falls, MT 59401
Phone (406) 452-6400
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.
-
- Community/Behavioral Health Agency
- Great Falls, MT
- NPI 1841907508
Assisted Living Facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1699613109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 3RD AVE N",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594011507",
"telephone_number": "406-452-6400",
"fax_number": "406-452-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 3RD AVE N",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594011507",
"telephone_number": "406-452-6400",
"fax_number": "406-452-2250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LDYBOSS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A",
"authorized_official_last_name": "FISK",
"authorized_official_first_name": "TERRA",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "406-781-4827"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001616496",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.