Provider Demographics
NPI:1326936352
Name:PARKVIEW ASSISTED LIVING
Entity type:Organization
Organization Name:PARKVIEW ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNALIZA
Authorized Official - Middle Name:C
Authorized Official - Last Name:KOCZUR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:406-868-0344
Mailing Address - Street 1:2806 16TH AVE S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-5207
Mailing Address - Country:US
Mailing Address - Phone:406-868-0344
Mailing Address - Fax:406-315-2811
Practice Address - Street 1:2201 11TH ST SW
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-3413
Practice Address - Country:US
Practice Address - Phone:406-868-0344
Practice Address - Fax:406-761-3845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000801363Medicaid