Healthcare Provider Details

I. General information

NPI: 1265247779
Provider Name (Legal Business Name): SUNFLOWER GARDENS ASSISTED LIVING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 3RD ST E
ROUNDUP MT
59072-1923
US

IV. Provider business mailing address

PO BOX 35
ROUNDUP MT
59072-0035
US

V. Phone/Fax

Practice location:
  • Phone: 406-323-4663
  • Fax:
Mailing address:
  • Phone: 406-323-4663
  • Fax: 406-323-5483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: TANA CATES
Title or Position: OWNER/ADMINISTRATOR
Credential: RN
Phone: 406-951-1444