STRAWBERRY ROAN STABLE LIVING LLC
NPI 1578946471
Assisted Living Facility in Judith Gap, MT

Active since July 09, 2015
109 HIGH ST, BOX 87, JUDITH GAP, MT 59453(406) 473-2206(406) 473-2207 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Strawberry Roan Stable Living Llc NPPES

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

STRAWBERRY ROAN STABLE LIVING LLC (NPI 1578946471) is a healthcare organization registered as an assisted living facility in Judith Gap, Montana and active in the NPI registry since July 2015. The organization maintains a secondary practice location in Lewistown and lists Jacqueline Mae Rivera, Administrator, as its authorized official.

NPPES Registry Identity

NPI1578946471
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSTRAWBERRY ROAN STABLE LIVING LLC
Location Address109 HIGH ST, BOX 87Judith Gap, MT 59453-7701
Mailing Address109 High Street, Box 87Judith Gap, MT 59453-5945 · (406) 473-2206 · Fax (406) 473-2207
Fax(406) 473-2207
Organization SubpartNo
Authorized OfficialJacqueline Mae RiveraAdministrator · (406) 473-2206
Enumeration DateJuly 9, 2015
Last NPPES UpdateApril 15, 2024
NPPES CertifiedApril 15, 2024
NPI 1578946471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MT · 13378
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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X
109 HIGH ST, Judith Gap, MT 59453

Secondary Practice Location 1

Location 180007 US Highway 87Lewistown, MT 59457-8348 · Phone (406) 538-3610

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 Strawberry Roan Stable Living LLC's NPI number?

The NPI number for Strawberry Roan Stable Living LLC is 1578946471. It was assigned to this organization in the NPPES registry on July 9, 2015.

Where is Strawberry Roan Stable Living LLC located?

Strawberry Roan Stable Living LLC is located at 109 High St Box 87, Judith Gap, MT 59453. The listed phone number is (406) 473-2206.

What is Strawberry Roan Stable Living LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Strawberry Roan Stable Living LLC was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.