1130 Seventeenth Avenue Operations LLC
NPI 1063459501 · Skilled Nursing Facility · Great Falls, MT
1130 Seventeenth Avenue Operations LLC is a Skilled Nursing Facility organization in Great Falls, MT (NPI 1063459501).
Provider details
- NPI number
- 1063459501
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Berg, Assistant Secretary(505) 468-4752
- License
- 12680 (MT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Missouri River Center
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2016-05-17
Frequently asked questions
- What is 1130 Seventeenth Avenue Operations LLC's NPI number?
- 1130 Seventeenth Avenue Operations LLC's National Provider Identifier (NPI) is 1063459501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1130 Seventeenth Avenue Operations LLC?
- 1130 Seventeenth Avenue Operations LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 1130 Seventeenth Avenue Operations LLC located?
- 1130 Seventeenth Avenue Operations LLC's practice location on file with NPPES is 1130 17th Ave S, Great Falls, MT 59405-4523.
- What is 1130 Seventeenth Avenue Operations LLC's phone number?
- The practice phone number listed in the NPPES registry for 1130 Seventeenth Avenue Operations LLC is (406) 771-4500.
- Who is the authorized official for 1130 Seventeenth Avenue Operations LLC?
- The authorized official listed on 1130 Seventeenth Avenue Operations LLC's NPPES record is Michael Berg, Assistant Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1130 Seventeenth Avenue Operations LLC's NPI active?
- Yes — 1130 Seventeenth Avenue Operations LLC's NPI (1063459501) is active in the NPPES registry as of the last update on 2016-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.