Healthcare Provider Details

I. General information

NPI: 1386510881
Provider Name (Legal Business Name): RIVER'S EDGE ASSISTED LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 LOWER RIVER RD
GREAT FALLS MT
59405-8291
US

IV. Provider business mailing address

4800 LOWER RIVER RD
GREAT FALLS MT
59405-8291
US

V. Phone/Fax

Practice location:
  • Phone: 406-952-0262
  • Fax: 406-952-0262
Mailing address:
  • Phone: 406-952-0262
  • Fax: 406-952-0262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KIMBERLY K WERMLING
Title or Position: OWNER
Credential:
Phone: 406-952-0262