Kalispell Community Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KALISPELL COMMUNITY HEALTHCARE LLC

Practice address

125 Glenwood Dr
Kalispell, MT 59901-6075

Phone

(406) 756-1818

NPI assigned

May 30, 2024

Organization subpart

No

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

Authorized official

Name

John Mitchell

Title

Secretary

Phone

(801) 447-9829

Specialties & licenses 2

Addresses

Other names 1

• Kalispell Assisted Living Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1750121364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 GLENWOOD DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016075",
            "telephone_number": "406-756-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL COMMUNITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "801-447-9829"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalispell Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonita Gaylon Juroe, MFT LCPC
• Justin Buls
• Enike Kadar, DPT
• Kalispell Acute Care Services LLC
• Kalispell Airport Taxi LLC
• Kalispell Denture Studio, LLC
• Kalispell Diagnostic Service Inc
• Kalispell Foot & Ankle Clinic, PC
• Kalispell Gastroenterology,PC
• Kalispell Kidds

• Assisted Living Facility in Kalispell, MT
• Providers in Kalispell, 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 May 30, 2024; 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.