NPIMap

Organization Active NPI

Kalispell Rehabilitation and Nursing LLC

  • Skilled Nursing Facility
  • Kalispell, MT
National Provider Identifier
1760175145
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KALISPELL REHABILITATION AND NURSING LLC
Practice address
171 Heritage Way
Kalispell, MT 59901-3145
Phone
(406) 775-0800
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Walter Eric Myers
Title
Member
Phone
(801) 709-4358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

171 Heritage Way
Kalispell, MT 59901-3145

Mailing address

171 Heritage Way
Kalispell, MT 59901-3145
Phone (406) 775-0800

Other identifiers 1

IdentifierTypeStateIssuer
13580OtherMTFACILITY LICENSE

Other names 1

  • Kalispell Rehabilitation and Nursing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231003001777 MT Part A Provider - Skilled Nursing Facility 9234583634 Practice locations: Kalispell, MT

Skilled nursing facility certification: CCN 275025

Legal name
KALISPELL REHABILITATION AND NURSING LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jan 16, 2025
Beds
140
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cottonwood Healthcare
Organization structure
LLCProprietary
Incorporated
May 17, 2023 in MT
Enrollment address
171 Heritage Way
Kalispell, MT 59901-3145
Nursing home name
KALISPELL 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
Kalispell Rehabilitation and Nursing LLCCCN 275025
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 - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14090.8 residents per day on average
Chain
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers19 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
4Fines totaling $320,155

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
27D0879953Kalispell Rehabilitation and Nursing171 Heritage Way, Kalispell, MT 59901Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory

Locations

171 Heritage Way
Kalispell, MT 59901
Phone (406) 407-4606

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Holly Swain Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 14.16%
Jared E Swain Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 14.75%
Corporate OfficerVice President Jul 1, 2023 50%
Serene Swain Individual Indirect Ownership Interest Jul 1, 2023 1.5%
Wendy Anderson Individual Adp of the SNF Jul 1, 2023
Organization, Sandy, UT Financial institution Adp of the SNF Jun 5, 2025
Taylor Hardy Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Charly Bello Family Limited Partnership Organization, American Fork, UT Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 29.5%
Derek a Gedlaman Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF May 2, 2025
Professional Business Advisors LLC Organization, Woods Cross, UT LLC Operational/Managerial Control Jul 1, 2023
Adp of the SNF May 7, 2025
Wipfli LLP Organization, Saint Charles, MO Corporation Operational/Managerial Control Jul 1, 2023
Adp of the SNF May 7, 2025
Maze Family Limited Partnership Organization, Provo, UT Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 42.5%
Cashmer LLC Organization, Kaysville, UT LLC, Owned by another organization or individual Direct Ownership Interest Jul 1, 2023 3%
Walter E Myers Individual 5% Or Greater Indirect Ownership InterestChief Operating Officer Jul 1, 2023 20.8%
Corporate OfficerPresident Jul 1, 2023 50%
Corporate DirectorSole Director Jul 1, 2023 100%
Kristin Fey Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 23.5%
Cottonwood Healthcare LLC Organization, American Fork, UT LLC Operational/Managerial Control Jul 1, 2023
Adp of the SNF May 7, 2025
Daniel Fey Individual Indirect Ownership Interest Jul 1, 2023 0.25%
Dover Ruxpin Family Limited Partnership Organization, Provo, UT Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 25%
Katie Myers Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 19.97%
Cameron Swain Individual Indirect Ownership Interest Jul 1, 2023 1.5%

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 83

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

View all 83

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1760175145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013145",
            "telephone_number": "406-775-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013145",
            "telephone_number": "406-775-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL REHABILITATION AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "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": "801-709-4358"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "13580",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalispell Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.