NPIMap

Organization Active NPI

Flor Haven Home LLC

  • Assisted Living Facility
  • Missoula, MT
National Provider Identifier
1861677171
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11096 Issued in MT
Legal business name
FLOR HAVEN HOME LLC
Practice address
433 S 3Rd St W
Missoula, MT 59801-2519
Phone
(406) 542-2598
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Jan Gaye Overbaugh
Title
Owner/Administrator
Phone
(406) 542-2598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11096 MT Primary

Addresses

Primary practice location

433 S 3Rd St W
Missoula, MT 59801-2519

Mailing address

433 S 3Rd St W
Missoula, MT 59801-2519
Phone (406) 542-2598

National Provider Directory

National Provider Directory
Tax ID family
Flor Haven Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1861677171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012519",
            "telephone_number": "406-542-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012519",
            "telephone_number": "406-542-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOR HAVEN HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "OVERBAUGH",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "GAYE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "406-542-2598"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MT",
            "license": "11096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.