OrganizationActive
1100 Texas Avenue Operations LLC
NPI 1821043621 · Skilled Nursing Facility · Deer Lodge, MT
Provider details
- NPI number
- 1821043621
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Peak Medical Montana Operations LLC
- Organization subpart
- Yes
- Authorized official
- Michael Berg, Assistant Secretary(505) 468-4752
- License
- 12681 (MT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
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
1100 Texas Ave
Deer Lodge, MT 59722-1829
Phone: (406) 846-1655
Street-level locationGet directions
Mailing address
1100 Texas Ave
Deer Lodge, MT 59722-1829
Other names (DBA / former)
- Doing business as
- Deer Lodge
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 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.