Active NPI
Valle Vista Rehabilitation and Nursing LLC
- Skilled Nursing Facility
- Lewistown, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VALLE VISTA REHABILITATION AND NURSING LLC
- Practice address
- 402 Summit Ave
Lewistown, MT 59457-3247 - Phone
- (406) 538-8775
- NPI assigned
- Jun 2, 2023
- Last updated
- Jun 2, 2023
- Organization subpart
- No
NPPES NPI Registry
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
- (385) 498-0195
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
402 Summit Ave
Lewistown, MT 59457-3247
Mailing address
402 Summit Ave
Lewistown, MT 59457-3247
Phone (406) 538-8775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231005001066 | MT | Part A Provider - Skilled Nursing Facility | 2961857339 | Practice locations: Lewistown, MT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1821781931. Details of each certification follow.
Skilled nursing facility certification: CCN 275021
- Legal name
- VALLE VISTA REHABILITATION AND NURSING LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1970
- Last certification
- May 20, 2025
- Beds
- 101
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Cottonwood Healthcare
- Organization structure
- LLC
- Incorporated
- Apr 27, 2023 in MT
- Enrollment address
- 402 Summit Ave
Lewistown, MT 59457-3247 - Nursing home name
- VALLE VISTA 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
- Valle Vista Rehabilitation and Nursing LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 1, 1970
- Medicare certification status
- Active
- Certified beds
- 101
- Chain
- The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
National Provider Directory
National Provider DirectoryLocations
402 Summit Ave
Lewistown, MT 59457
Phone (406) 538-8775
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Holly Swain | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 14.16% |
| Jared E Swain | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 14.75% |
| Serene Swain | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 1.5% |
| Wendy Anderson | Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | Jul 1, 2023 | ||
| Charly Bello Family Limited Partnership | 5% Or Greater Direct Ownership Interest | Jul 1, 2023 | 29.5% |
| Michael E Sura | Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | Jul 1, 2023 | ||
| Professional Business Advisors LLC | Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | May 12, 2025 | ||
| Steve McFadden | Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | Jul 1, 2023 | ||
| Wipfli LLP | Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | May 12, 2025 | ||
| Maze Family Limited Partnership | 5% Or Greater Direct Ownership Interest | Jul 1, 2023 | 42.5% |
| Cashmer LLC | Direct Ownership Interest | Jul 1, 2023 | 3% |
| Walter E Myers | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 20.8% |
| Operational/Managerial Control | Jul 1, 2023 | ||
| Adp of the SNF | Jul 1, 2023 | ||
| Kristin Fey | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 23.5% |
| Cottonwood Healthcare LLC | Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | May 12, 2025 | ||
| Daniel Fey | Indirect Ownership Interest | Jul 1, 2023 | 0.25% |
| Dover Ruxpin Family Limited Partnership | 5% Or Greater Direct Ownership Interest | Jul 1, 2023 | 25% |
| Katie Myers | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 19.97% |
| Cameron Swain | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 1.5% |
| Adp of the SNF | Apr 22, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Lewistown, MT
- NPI 1538283221
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 83
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Columbus, MT
- NPI 1710733720
Charly Bello Family Limited Partnership, Maze Family Limited Partnership
-
dba Billings Rehabilitation and Nursing
- Skilled Nursing Facility
- Billings, MT
- NPI 1043903420
Cottonwood Healthcare LLC, Dover Ruxpin Family Limited Partnership, Maze Family Limited Partnership, Professional Business Advisors LLC, Wipfli LLP
-
dba Kalispell Rehabilitation and Nursing
- Skilled Nursing Facility
- Kalispell, MT
- NPI 1760175145
Charly Bello Family Limited Partnership, Cottonwood Healthcare LLC, Dover Ruxpin Family Limited Partnership, Maze Family Limited Partnership, Professional Business Advisors LLC, Wipfli LLP
-
- Skilled Nursing Facility
- Bigfork, MT
- NPI 1770322356
Charly Bello Family Limited Partnership, Cottonwood Healthcare LLC, Maze Family Limited Partnership, Professional Business Advisors LLC
-
- Skilled Nursing Facility
- Cut Bank, MT
- NPI 1306539556
Charly Bello Family Limited Partnership, Cottonwood Healthcare LLC, Dover Ruxpin Family Limited Partnership, Maze Family Limited Partnership, Professional Business Advisors LLC, Wipfli LLP
-
- Skilled Nursing Facility
- Billings, MT
- NPI 1659157097
Charly Bello Family Limited Partnership, Cottonwood Healthcare LLC, Dover Ruxpin Family Limited Partnership, Maze Family Limited Partnership, Professional Business Advisors LLC, Wipfli LLP
-
dba The Pavilion at Villa Pueblo
- Skilled Nursing Facility
- Pueblo, CO
- NPI 1285060756
Wipfli LLP
-
- Skilled Nursing Facility
- Longmont, CO
- NPI 1679382519
Charly Bello Family Limited Partnership, Cottonwood Healthcare LLC, Maze Family Limited Partnership, Professional Business Advisors LLC, Wipfli LLP
-
dba Woodside Lutheran Home
- Skilled Nursing Facility
- Green Bay, WI
- NPI 1780756890
Wipfli LLP
-
dba Baywood Court Health Center
- Skilled Nursing Facility
- Castro Valley, CA
- NPI 1043489016
Wipfli LLP
-
dba Millcreek Rehabilitation and Nursing
- Skilled Nursing Facility
- Salt Lake City, UT
- NPI 1023480225
Cottonwood Healthcare LLC
-
- Skilled Nursing Facility
- St George, UT
- NPI 1164881025
Cottonwood Healthcare LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Lewistown, MT
- NPI 1902127756
-
- Family Medicine Physician
- Lewistown, MT
- NPI 1538283221
Affiliated clinicians 3
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": "1685664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685664000000",
"number": "1821781931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 SUMMIT AVE",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594573247",
"telephone_number": "406-538-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 SUMMIT AVE",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594573247",
"telephone_number": "406-538-8775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLE VISTA REHABILITATION AND NURSING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-02",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"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": "385-498-0195"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.