Lakeview Rehabilitation and Nursing LLC
Organization Active NPI Skilled Nursing Facility · Bigfork, MT
NPI 1770322356 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1770322356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- LAKEVIEW REHABILITATION AND NURSING LLC
- Practice address
- 1050 Grand Dr
Bigfork, MT 59911-3563 - Phone
- (385) 498-0195
- NPI assigned
- May 22, 2024
- Organization subpart
- No
Authorized official
- Name
- Ms. Wendy Anderson
- Title
- Office Manager
- Phone
- (801) 360-8804
Owners & managing parties with NPI records 1
Facilities with the same owner 23
Practitioners 1
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Lakeview Rehabilitation and Nursing LLC
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 16, 2026
- Chain
- The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2312963 | Lakeview Rehabilitation and Nursing LLC | Certificate of waiver | Oct 21, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Skilled nursing facility certification: CCN 275160
- Legal name
- LAKEVIEW REHABILITATION AND NURSING LLC
- Doing business as
- LAKEVIEW REHABILITATION AND NURSING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 16, 2026
- Last certification
- Dec 4, 2025
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1050 Grand Dr
Bigfork, MT 59911-3563 - Nursing home name
- LAKEVIEW REHABILITATION AND NURSING LLC
- Affiliated entity
- THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Slattery & Holman P.C. |
Operational/Managerial Control | Apr 1, 2024 | |
| Adp of the SNF | Jun 27, 2025 | ||
| Amber Gray |
Operational/Managerial Control | Oct 29, 2024 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Lakeview Health Holdings LLC |
Operational/Managerial Control | Apr 1, 2024 | |
| Adp of the SNF | Apr 1, 2024 | ||
| Holly Swain |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 16.8% |
| Indirect Ownership Interest | Apr 1, 2024 | 16.8% | |
| Jared E Swain |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 17.5% |
| Indirect Ownership Interest | Apr 1, 2024 | 17.5% | |
| |
Indirect Ownership Interest | Apr 1, 2024 | 0.1% |
| Charly Bello Family Limited Partnership |
5% Or Greater Direct Ownership Interest | Apr 1, 2024 | 35% |
| Derek a Gedlaman |
Operational/Managerial Control | Oct 29, 2024 | |
| Adp of the SNF | Apr 8, 2025 | ||
| White Ash LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2024 | 10% |
| Professional Business Advisors LLC |
Operational/Managerial Control | Apr 1, 2024 | |
| Adp of the SNF | Jun 27, 2025 | ||
| Maze Family Limited Partnership |
5% Or Greater Direct Ownership Interest | Apr 1, 2024 | 55% |
| Walter E Myers |
5% Or Greater Indirect Ownership Interest |
Apr 1, 2024 | 19.6% |
| Operational/Managerial Control | Oct 29, 2024 | ||
| Indirect Ownership Interest | Apr 1, 2024 | 19.6% | |
| Cottonwood Healthcare LLC |
Operational/Managerial Control | Apr 1, 2024 | |
| Adp of the SNF | Jun 27, 2025 | ||
| Katie Myers |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 18.8% |
| Indirect Ownership Interest | Apr 1, 2024 | 18.8% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251003001740 | MT | Part a Provider - Skilled Nursing Facility | 4486150844 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1050 Grand Dr
Bigfork, MT 59911-3563
Mailing address
1050 Grand Dr
Bigfork, MT 59911-3563
Other providers in Bigfork, MT
- Thomas G Jenko
- Martha Jessop
- Johnson Chiropractic Center, Inc
- Kalispell Regional Medical Center Inc
- Kismet Big, LLC
- Shannon Leukuma
- Jordan Brooks Linder
- Denise Tucker Lingo
- Llewellyn Drug Inc
- Seth Losos
All providers in Bigfork, MT · Skilled Nursing Facility in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.