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THE VILLAGE SENIOR RESIDENCE
NPI 1245268671
Assisted Living Facility in Missoula, MT

Active since June 28, 2006CLIA 27D2079555 · Waiver
2815 OLD FORT RD, MISSOULA, MT 59804(406) 549-1300(406) 721-1620 Get Directions Write a Review

NPPES record last updated: May 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Village Senior Residence NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE VILLAGE SENIOR RESIDENCE (NPI 1245268671) is a healthcare organization registered as an assisted living facility in Missoula, Montana and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists John B Goodman, President, as its authorized official.

NPPES Registry Identity

NPI1245268671
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVSR LLC
Location Address2815 OLD FORT RDMissoula, MT 59804-7422
Mailing Address1107 Hazeltine Blvd, Suite 200Chaska, MN 55318-1009 · (952) 361-8000 · Fax (952) 361-8060
Phone(406) 549-1300
Fax(406) 721-1620
Organization SubpartNo
Authorized OfficialJohn B GoodmanPresident · (952) 361-8000
Enumeration DateJune 28, 2006
Last NPPES UpdateMay 30, 2014
✔ NPI 1245268671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MT · 9908
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2815 OLD FORT RD, Missoula, MT 59804
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Other Names 1

Doing Business AsThe Village Senior Residence

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2079555

Vsr LLC D/B/A Village Senior Residence, The · Missoula, MT
Active · expires Jun 17, 2028
CLIA Number27D2079555
Laboratory TypeResidential Care Facility
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorJoy Dawe
Laboratory Phone(406) 549-1300
Laboratory LocationVsr LLC D/B/A Village Senior Residence, The2815 Old Fort Road, Missoula, MT 59804
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vsr LLC's NPI number?

The NPI number for Vsr LLC is 1245268671. It was assigned to this organization in the NPPES registry on June 28, 2006. The provider is doing business as The Village Senior Residence.

Where is Vsr LLC located?

Vsr LLC is located at 2815 Old Fort Rd, Missoula, MT 59804. The listed phone number is (406) 549-1300.

What is Vsr LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Vsr LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2079555) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vsr LLC was last updated on May 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.