Healthcare Provider Details

I. General information

NPI: 1740194281
Provider Name (Legal Business Name): ADAPTIVE HOME MODIFICATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5921 36TH ST. SW
GREAT FALLS MT
59404
US

IV. Provider business mailing address

5921 36TH ST. SW
GREAT FALLS MT
59404
US

V. Phone/Fax

Practice location:
  • Phone: 406-799-4023
  • Fax: 406-315-1679
Mailing address:
  • Phone: 406-799-4023
  • Fax: 406-315-1679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. MICHAEL BRAD MULLENS
Title or Position: OWNER/OPERATOR
Credential:
Phone: 406-799-4023