Shady Lane Assisted Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10713 Issued in MT

Legal business name

SHADY LANE ASSISTED LIVING INC

Practice address

1018 Pleasant St
Miles City, MT 59301-3415

Phone

(406) 234-4104

Fax

(406) 234-8019

NPI assigned

Dec 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dee Ann Kruger, RN

Title

Administrator, Sec,Treas, RN

Phone

(406) 234-4104

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770646440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 PLEASANT ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593013415",
            "telephone_number": "406-234-4104",
            "fax_number": "406-234-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 PLEASANT ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593013415",
            "telephone_number": "406-234-4104",
            "fax_number": "406-234-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY LANE ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "DEE ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR, SEC,TREAS, RN",
        "authorized_official_telephone_number": "406-234-4104",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MT",
            "license": "10713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Rose Rub Schimelfening, OD, MEDVFL
• Kathleen M Schlepp, RD,MS,LD
• Megan Schmitz, RN
• SCL Health Medical Group - Miles City, LLC
• Micah Dawn Scott
• Shamrock Family Practice LLC
• Vicky Jo Shipe Tusler, R.D. L.N.
• William Jeffrey Skidmore, R.PH.
• Sara J Small, ACLC
• David A Smith, APRN

• Assisted Living Facility in Miles City, MT
• Providers in Miles City, 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 Aug 22, 2020; 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.