Organization Active NPI

Villa at Valle Vista Rehabilitation LLC

  • Assisted Living Facility
  • Lewistown, MT
National Provider Identifier
1871278390
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VILLA AT VALLE VISTA REHABILITATION LLC
Practice address
404 Summit Ave
Lewistown, MT 59457-3247
Phone
(406) 538-3758
NPI assigned
Jun 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

404 Summit Ave
Lewistown, MT 59457-3247

Mailing address

404 Summit Ave
Lewistown, MT 59457-3247
Phone (406) 538-3758

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2151467Villa at Valle Vista Rehabilitation404 Summit Ave, Lewistown, MT 59457Certificate of waiverMar 10, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1871278390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SUMMIT AVE",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594573247",
            "telephone_number": "406-538-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SUMMIT AVE",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594573247",
            "telephone_number": "406-538-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA AT VALLE VISTA REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "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 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.