Provider Demographics
NPI:1417179664
Name:CASLEN LIVING CENTERS, INC.
Entity Type:Organization
Organization Name:CASLEN LIVING CENTERS, INC.
Other - Org Name:MEADOWLARK MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-259-9542
Mailing Address - Street 1:674 HILLCREST DRIVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3581
Mailing Address - Country:US
Mailing Address - Phone:406-259-9542
Mailing Address - Fax:
Practice Address - Street 1:35 SKYLINE DRIVE
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:MT
Practice Address - Zip Code:59759
Practice Address - Country:US
Practice Address - Phone:406-287-5530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT11091310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0045643Medicaid