# THE LIFEGUARDGROUP

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376411157
- **Authorized official:** HEIDI GRACE STOCKBAUER (CASE MANAGER)
- **Authorized official phone:** (406) 396-5053

## Contact information

- **Practice address:** 1515 FAIRVIEW AVE STE 210, MISSOULA, MT 59801-7817
- **Practice address phone:** (406) 396-5053
- **Mailing address:** PO BOX 166, VICTOR, MT 59875-0166
- **Mailing address phone:** (406) 396-5053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2025
- **Last updated:** 10/24/2025