MEDICARE: ST. ANNE'S HOME FOR ASSISTED LIVING & SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care

General Provider Information

NPI Number	:	1568186849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. ANNE'S HOME FOR ASSISTED LIVING & SERVICES

Provider Business Mailing Address
First Line	:	1721 S WOODLAND DR SPC 6
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-5142
Country	:	US
Telephone Number	:	406-249-6071
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 PARK DR
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-2922
Country	:	US
Telephone Number	:	406-249-6071
Fax Number	:

Authorized Official
Title or Position	:	OVERSIGHT MANAGER
Name	:	MS. SUSAN LINDA MILLER
Credential	:
Telephone Number	:	406-249-6071

Provider Enumeration Date	:	09/29/2022
Last Update Date	:	09/05/2025

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