Active NPI
Discovery Care Centre, LLC
- Assisted Living Facility
- Hamilton, MT
National Provider Identifier
1992470207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- DISCOVERY CARE CENTRE, LLC
- Practice address
- 601 N 10TH St
Hamilton, MT 59840-2060 - Phone
- (406) 363-2273
- NPI assigned
- Aug 10, 2021
- Organization subpart
- Yes
- Parent organization
- DISCOVERY CARE CENTRE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James A Weichert
- Title
- Authorized Official/Owner
- Phone
- (952) 361-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
601 N 10TH St
Hamilton, MT 59840-2060
Mailing address
1107 Hazeltine Blvd # 36
Chaska, MN 55318-1009
Phone (952) 361-8935
Other names 1
- Discovery Care Centre
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211213002617 | MT | Part A Provider - Skilled Nursing Facility | 6002206604 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hamilton, MT |
Skilled nursing facility certification: CCN 275135
- Legal name
- DISCOVERY CARE CENTRE, LLC
- Doing business as
- DISCOVERY CARE CENTRE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 10, 1990
- Last certification
- Dec 5, 2024
- Beds
- 58
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Cottonwood Healthcare
- Organization structure
- LLC
- Incorporated
- Jul 26, 2021 in MN
- Enrollment address
- 601 N 10TH St
Hamilton, MT 59840-2060 - Nursing home name
- THE VALLEY HEALTH AND REHAB
- Affiliated entity
- THE GOODMAN GROUP
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Valley Health and Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 10, 1990
- Medicare certification status
- Active
- Certified beds
- 58
- Chain
- The Goodman Group
- Penalties (3 years)
- 4
National Provider Directory
National Provider Directory- Part of
- Discovery Care Centre LLC
Locations
601 N 10th St
Hamilton, MT 59840
Phone (406) 363-2273
Ownership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Lawrence D Brouwer | Contracted Managing Employee | Oct 1, 2012 | |
| Mark W Reiling | Corporate Director | Jul 26, 2021 | 14.29% |
| Clinton V Knacke | Corporate Officer | Jul 26, 2021 | 33.33% |
| Corporate Director | Jul 26, 2021 | 14.29% | |
| Craig E Edinger | Corporate Director | Jul 26, 2021 | 14.29% |
| Thomas Jay Salmen | Corporate Officer | Jul 26, 2021 | 33.33% |
| Corporate Director | Jul 26, 2021 | 14.29% | |
| Mark L Wilson | Corporate Officer | Jul 26, 2021 | 33.33% |
| Corporate Director | Jul 26, 2021 | 14.29% | |
| Shane Goodman | Corporate Director | Jul 26, 2021 | 14.29% |
| The Goodman Family Operating Foundation | 5% Or Greater Direct Ownership Interest | Jul 26, 2021 | 100% |
| James a Weichert | Corporate Director | Jul 26, 2021 | 14.29% |
| Michael J Zwicker | W-2 Managing Employee | Aug 31, 2023 | 100% |
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
- Hamilton, MT
- NPI 1306922885
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1628553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628553600000",
"number": "1992470207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 HAZELTINE BLVD # 36",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181009",
"telephone_number": "952-361-8935",
"fax_number": "952-361-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N 10TH ST",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402060",
"telephone_number": "406-363-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISCOVERY CARE CENTRE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DISCOVERY CARE CENTRE, LLC",
"enumeration_date": "2021-08-10",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A",
"authorized_official_last_name": "WEICHERT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
"authorized_official_telephone_number": "952-361-8000"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Discovery Care Centre",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hamilton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.