Mainstream Independent Living Services Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

251C00000X Issued in MT

Legal business name

MAINSTREAM INDEPENDENT LIVING SERVICES INC

Practice address

82 Meriwether Ave
Bozeman, MT 59718-3694

Phone

(406) 522-3839

NPI assigned

Dec 31, 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

Ms. Mary Eileen Marta

Title

Director

Phone

(406) 522-3839

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841356938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 MERIWETHER AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183694",
            "telephone_number": "406-522-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MERIWETHER AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183694",
            "telephone_number": "406-522-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM INDEPENDENT LIVING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-522-3839",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MT",
            "license": "251C00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Developmentally Disabled Services Day Training Agency 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.