NPIMap

Organization Active NPI

Beartooth Rehabilitation and Nursing LLC

  • Skilled Nursing Facility
  • Columbus, MT
National Provider Identifier
1710733720
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEARTOOTH REHABILITATION AND NURSING LLC
Practice address
350 W Pike Ave
Columbus, MT 59019-7617
Phone
(385) 492-0194
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Mr. Walter Eric Myers
Title
Member
Phone
(385) 498-0195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

350 W Pike Ave
Columbus, MT 59019-7617

Mailing address

947 S 500 E Ste 105
American Fork, UT 84003-3392
Phone (385) 492-0194

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241106000748 MT Part A Provider - Skilled Nursing Facility 0941734529 Practice locations: Columbus, MT

Skilled nursing facility certification: CCN 275159

Legal name
BEARTOOTH REHABILITATION AND NURSING LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 18, 2024
Last certification
Dec 5, 2024
Ownership / control type
Corporation
Multi-facility organization
Cottonwood Healthcare
Organization structure
LLCProprietary
Enrollment address
350 W Pike Ave
Columbus, MT 59019-7617
Nursing home name
BEARTOOTH REHABILITATION AND NURSING LLC
Affiliated entity
THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Beartooth Rehabilitation and Nursing LLCCCN 275159
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 18, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Chain
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers19 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $50,592

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2307722Beartooth Rehabilitation and Nursing350 W Pike Ave., Columbus, MT 59019Certificate of waiverJul 14, 2028

National Provider Directory

National Provider Directory

Locations

947 S 500 E
Ste 105
American Fork, UT 84003
Phone (385) 492-0194

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Jared E Swain Individual 5% Or Greater Indirect Ownership InterestOwner Feb 15, 2024 17.15%
Charly Bello Family Limited Partnership Organization, American Fork, UT 5% Or Greater Direct Ownership Interest Feb 15, 2024 35%
White Ash LLC Organization, Billings, MT LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 15, 2024 10%
Brandy Lake Individual Operational/Managerial Control Jul 15, 2024
Kole Larsen Individual 5% Or Greater Indirect Ownership InterestOwner, VP of Operations Jul 15, 2024 10%
Maze Family Limited Partnership Organization, Provo, UT 5% Or Greater Direct Ownership Interest Feb 15, 2024 55%
Jeffrey Macewen Individual Operational/Managerial Control Jul 15, 2024
Walter E Myers Individual 5% Or Greater Indirect Ownership InterestOwner Feb 15, 2024 25.85%
Stacey Olmstead Individual Operational/Managerial Control Jan 1, 2026
Adp of the SNF Jan 1, 2026

Owners & managing parties with NPI records 1

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

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 2

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": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1710733720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S 500 E STE 105",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033392",
            "telephone_number": "385-492-0194",
            "fax_number": "801-492-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W PIKE AVE",
            "city": "COLUMBUS",
            "state": "MT",
            "postal_code": "590197617",
            "telephone_number": "385-492-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARTOOTH REHABILITATION AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "385-498-0195",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MT

Sources for this page

Verify at the official NPI Registry.