IVY AT DEER LODGE LLC
NPI 1356988349
Skilled Nursing Facility in Deer Lodge, MT

Active since December 09, 2019CLIA 27D0679839 · Waiver
1/5
Overall Rating
1100 TEXAS AVE, DEER LODGE, MT 59722(406) 846-1655 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2021, Apr 3, 2020, Dec 9, 2019 (3 updates tracked since 2019).

About Ivy At Deer Lodge Llc NPPES

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

IVY AT DEER LODGE LLC (NPI 1356988349) is a healthcare organization registered as a skilled nursing facility in Deer Lodge, Montana and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ryan Morris Coane, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1356988349
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameIVY AT DEER LODGE LLC
Location Address1100 TEXAS AVEDeer Lodge, MT 59722-1829
Mailing Address9429 Harding Ave # 141Surfside, FL 33154-2803 · (305) 912-9260
Organization SubpartNo
Authorized OfficialRyan Morris CoaneChief Operating Officer · (305) 912-9260
Enumeration DateDecember 9, 2019
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
NPI 1356988349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1100 TEXAS AVE, Deer Lodge, MT 59722

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 27D0679839

Ivy At Deer Lodge · Deer Lodge, MT
Active · expires Aug 31, 2026
CLIA Number27D0679839
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorChristina Larae Zimpel
Laboratory Phone(406) 846-1655
Laboratory LocationIvy At Deer Lodge1100 Texas Ave Attn Business Manager, Deer Lodge, MT 59722
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Ivy At Deer Lodge (CMS certification number 275134), from CMS Care Compare.

Ivy At Deer Lodge

Nursing home · Deer Lodge, MT
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number275134
Certified Beds60 beds45 residents per day on average
Medicare & Medicaid Participant SinceOctober 1, 1989
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
132.83
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.92 · LPN 0.66 · RN 0.61
3.2 hrs per resident per day
Weekend Nurse Staffing
2.86 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
60.4%
Registered Nurse Turnover
60%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
4
Infection-Control Citations
5
Fines
3 totaling $93,171.00
Medicare Payment Denials
0
Total Penalties
3
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1100 TEXAS AVE
DEER LODGE, MT 59722
Skilled Nursing Facility
1100 TEXAS AVE
DEER LODGE, MT 59722
Skilled Nursing Facility
1100 TEXAS AVE
DEER LODGE, MT 59722
Skilled Nursing Facility
1100 TEXAS AVE
DEER LODGE, MT 59722
Skilled Nursing Facility
1100 TEXAS AVE
DEER LODGE, MT 59722

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 Ivy At Deer Lodge LLC's NPI number?

The NPI number for Ivy At Deer Lodge LLC is 1356988349. It was assigned to this organization in the NPPES registry on December 9, 2019.

Where is Ivy At Deer Lodge LLC located?

Ivy At Deer Lodge LLC is located at 1100 Texas Ave, Deer Lodge, MT 59722. The listed phone number is (406) 846-1655.

What is Ivy At Deer Lodge LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Ivy At Deer Lodge LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D0679839) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ivy At Deer Lodge LLC a Medicare-certified nursing home?

Yes. Ivy At Deer Lodge is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Ivy At Deer Lodge LLC have?

CMS rates Ivy At Deer Lodge 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Ivy At Deer Lodge LLC was last updated on January 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.