Healthcare Provider Details

I. General information

NPI: 1528199395
Provider Name (Legal Business Name): AUTUMN SPRINGS ASSISTED LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3758 AVENUE B
BILLINGS MT
59102-7640
US

IV. Provider business mailing address

3758 AVENUE B
BILLINGS MT
59102-7640
US

V. Phone/Fax

Practice location:
  • Phone: 406-656-0422
  • Fax: 406-656-1665
Mailing address:
  • Phone: 406-656-0422
  • Fax: 406-656-1665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number10822
License Number StateMT

VIII. Authorized Official

Name: MS. DORIS BACKUS
Title or Position: ADMINISTRATOR
Credential:
Phone: 406-656-0422