Healthcare Provider Details

I. General information

NPI: 1326936352
Provider Name (Legal Business Name): PARKVIEW ASSISTED LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 11TH ST SW
GREAT FALLS MT
59404-3413
US

IV. Provider business mailing address

2806 16TH AVE S
GREAT FALLS MT
59405-5207
US

V. Phone/Fax

Practice location:
  • Phone: 406-868-0344
  • Fax: 406-761-3845
Mailing address:
  • Phone: 406-868-0344
  • Fax: 406-315-2811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANNALIZA C KOCZUR
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 406-868-0344