Ivy at Great Falls LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IVY AT GREAT FALLS LLC

Practice address

1130 17TH Ave S
Great Falls, MT 59405-4523

Phone

(406) 771-4500

NPI assigned

Dec 9, 2019

Organization subpart

No

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

Authorized official

Name

Ryan Morris Coane

Title

Chief Operating Officer

Phone

(305) 912-9260

Specialties & licenses 5

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott A Deppe, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Great Falls, MT
  • NPI 1437131422
  NPD (past)
• Martin Schiffert, MD

  • Family Medicine Physician
  • Billings, MT
  • NPI 1609819259
  NPD (past)

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1891332896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9429 HARDING AVE # 141",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331542803",
            "telephone_number": "305-912-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 17TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054523",
            "telephone_number": "406-771-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY AT GREAT FALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "COANE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "305-912-9260"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isf Lodge Montana (The Lodge Senior Living)
• Brian Itoh, MS OTR
• Marilyn J Ivers, LCPC
• Sheldon G. Ivers, DDS
• Jamey Lynn Ivey, LCPC
• J Flair Wellness (Great Falls Health & Wellness)
• Luke Jarvis Jackson, CRNA
• Emilie Sue Jacobsen, MD
• Leah M Jacobsen, AU.D., CCC-A
• Daniel Wade Jacobson, RPH

• Skilled Nursing Facility in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Skilled Nursing Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.