Healthcare Provider Details

I. General information

NPI: 1740172246
Provider Name (Legal Business Name): A HEAVENLY ACRE ADULT DAYCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/18/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1754 LAKE ELMO DR
BILLINGS MT
59105-4409
US

IV. Provider business mailing address

1754 LAKE ELMO DR
BILLINGS MT
59105-4409
US

V. Phone/Fax

Practice location:
  • Phone: 406-697-4276
  • Fax:
Mailing address:
  • Phone: 406-697-4276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM SHANE SALMINEN
Title or Position: OWNER
Credential: REGISTERED NURSE
Phone: 406-697-4276