Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
IVY AT DEER LODGE LLC
Active
Organization
IVY AT DEER LODGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN MORRIS COANE (CHIEF OPERATING OFFICER)
(305) 912-9260
Entity
Organization
Contact information
Practice address
1100 TEXAS AVE, DEER LODGE, MT 59722-1829
(406) 846-1655
Mailing address
9429 HARDING AVE # 141, SURFSIDE, FL 33154-2803
(305) 912-9260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/09/2019
Last updated
01/12/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers