MEDICARE: DEER LODGE NURSING AND REHAB CENTER, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist
3	225100000X	Physical Therapist
4	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1932072519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEER LODGE NURSING AND REHAB CENTER, LLC

Provider Business Mailing Address
First Line	:	1100 TEXAS AVE
Second Line	:
City	:	DEER LODGE
State	:	MT
Zip	:	59722-1829
Country	:	US
Telephone Number	:	406-846-1655
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 TEXAS AVE
Second Line	:
City	:	DEER LODGE
State	:	MT
Zip	:	59722-1829
Country	:	US
Telephone Number	:	406-846-1655
Fax Number	:

Authorized Official
Title or Position	:	GENERAL COUNSEL
Name	:	DUSTIN MICHAEL MONROE
Credential	:
Telephone Number	:	385-240-6408

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	10/10/2025

Similar Medicare Providers

1821043621 — 1100 TEXAS AVENUE OPERATIONS LLC
Practice Location Address:

1100 TEXAS AVE
DEER LODGE, MT
59722-1829

Practice Phone: 406-846-1655
Practice Fax:

1942743869 — EMPRES AT DEER LODGE, LLC
Practice Location Address:

1100 TEXAS AVE
DEER LODGE, MT
59722-1829

Practice Phone: 406-846-1655
Practice Fax: 406-846-2602

1700351210 — DEER LODGE CARE HOLDINGS, LLC
Practice Location Address:

1100 TEXAS AVE
DEER LODGE, MT
59722-1829

Practice Phone: 406-846-1655
Practice Fax:

1356988349 — IVY AT DEER LODGE LLC
Practice Location Address:

1100 TEXAS AVE
DEER LODGE, MT
59722-1829

Practice Phone: 406-846-1655
Practice Fax:

1710962261 — JENNIFER LYNN NOEL PT
Practice Location Address:

1100 HOLLENBECK LN
DEER LODGE, MT
59722-2317

Practice Phone: 406-846-1991
Practice Fax: 406-846-1347

1144297987 — DR. FRANK RAISER MD
Practice Location Address:

1100 HOLLENBECK LN
DEER LODGE, MT
59722-2317

Practice Phone: 406-846-1722
Practice Fax: 406-846-3074

Directions to “DEER LODGE NURSING AND REHAB CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.