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MISSOULA HEALTH AND REHABILITATION CENTER
NPI 1447703533
Assisted Living Facility in Missoula, MT

Active since July 26, 2016CLIA 27D0410969 · Waiver
3018 RATTLESNAKE DR, MISSOULA, MT 59802(406) 549-0988(406) 549-0111 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2017, Jan 25, 2017 (2 updates tracked since 2017).

About Missoula Health And Rehabilitation Center NPPES

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

MISSOULA HEALTH AND REHABILITATION CENTER (NPI 1447703533) is a healthcare organization registered as an assisted living facility in Missoula, Montana and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Brent Weil, Manager, as its authorized official.

NPPES Registry Identity

NPI1447703533
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEVERGREEN AT MISSOULA, L.L.C.
Location Address3018 RATTLESNAKE DRMissoula, MT 59802-6101
Mailing Address4601 Ne 77th Ave, Suite 300Vancouver, WA 98662-6729 · (360) 892-6628 · Fax (360) 882-5793
Phone(406) 549-0988
Fax(406) 549-0111
Organization SubpartYesParent: Empres Montana Healthcare, Llc
Authorized OfficialBrent WeilManager · (360) 892-6628
Enumeration DateJuly 26, 2016
Last NPPES UpdateFebruary 1, 20172 updates tracked since enumeration
✔ NPI 1447703533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MT · 13184
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.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
3018 RATTLESNAKE DR, Missoula, MT 59802
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Other Names 1

Doing Business AsMissoula Health And Rehabilitation Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 27D0410969

Missoula Health And Rehabilitation · Missoula, MT
Active · expires Aug 31, 2026
CLIA Number27D0410969
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStephen Palmieri
Laboratory Phone(406) 549-0988
Laboratory LocationMissoula Health And Rehabilitation3018 Rattlesnake Dr, Missoula, MT 59802
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

ELIZABETH ANNE BERINGER MSPT
Physical Therapist
3018 RATTLESNAKE DR
MISSOULA, MT 59802
Missoula County (406) 549-0988
MR. BARRY ARTHUR OLSON PHYSICAL THERAPY
Physical Therapist
3018 RATTLESNAKE DR
MISSOULA, MT 59802
Missoula County (406) 549-0988
ALANE KAY DOBIE MA/CCC-SLP
Speech-Language Pathologist
3018 RATTLESNAKE DR
MISSOULA, MT 59802
Missoula County (406) 549-0988
OLIVIA RIGDON OTR
Occupational Therapist
3018 RATTLESNAKE DR
MISSOULA, MT 59802
Missoula County (406) 549-0988
ALISON ZMUD
Physical Therapy Assistant
3018 RATTLESNAKE DR
MISSOULA, MT 59802
Missoula County (406) 549-0988
MRS. KAREN SUE GRANBERRY PT
Physical Therapist
3018 RATTLESNAKE DR
MISSOULA, MT 59802
Missoula County (406) 549-0988
EVERGREEN AT MISSOULA, L.L.C.
Skilled Nursing Facility
3018 RATTLESNAKE DR
MISSOULA, MT 59802
Missoula County (406) 549-0988
MRS. TANA SUE OSTROWSKI OTA/L, CBIS
Occupational Therapy Assistant
3018 RATTLESNAKE DR
MISSOULA, MT 59802
Missoula County (406) 549-0988

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 Evergreen At Missoula, L.L.C.'s NPI number?

The NPI number for Evergreen At Missoula, L.L.C. is 1447703533. It was assigned to this organization in the NPPES registry on July 26, 2016. The provider is doing business as Missoula Health And Rehabilitation Center.

Where is Evergreen At Missoula, L.L.C. located?

Evergreen At Missoula, L.L.C. is located at 3018 Rattlesnake Dr, Missoula, MT 59802. The listed phone number is (406) 549-0988.

What is Evergreen At Missoula, L.L.C.'s specialty?

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

Does Evergreen At Missoula, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D0410969) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evergreen At Missoula, L.L.C. was last updated on February 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.