Organization Active NPI

Lantis Enterprises, Inc

  • Skilled Nursing Facility
  • Billings, MT
National Provider Identifier
1750376299
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
9951 Issued in MT
Legal business name
LANTIS ENTERPRISES, INC
Practice address
1415 Yellowstone River Rd
Billings, MT 59105
Phone
(406) 245-9330
NPI assigned
Sep 12, 2005
Organization subpart
Yes
Parent organization
LANTIS ENTERPRISES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Michael L. Moore
Title
Chief Financial Officer
Phone
(605) 642-7736

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X
Skilled Nursing Facility 314000000X 9951 MT Primary

Addresses

Primary practice location

1415 Yellowstone River Rd
Billings, MT 59105

Mailing address

1415 Yellowstone River Rd
Billings, MT 59105-1834
Phone (406) 245-9330

Other identifiers 1

IdentifierTypeStateIssuer
0312208MedicaidMT

Other names 1

  • Eagle Cliff Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Crossings6 organizations share this tax ID, including this one
Part of
Lantis Enterprises Inc

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1750376299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 YELLOWSTONE RIVER RD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591051834",
            "telephone_number": "406-245-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 YELLOWSTONE RIVER RD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "59105",
            "telephone_number": "406-245-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTIS ENTERPRISES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANTIS ENTERPRISES, INC",
        "enumeration_date": "2005-09-12",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "605-642-7736"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "9951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0312208",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Cliff Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.