Provider Demographics
NPI:1386510881
Name:RIVER'S EDGE ASSISTED LIVING LLC
Entity type:Organization
Organization Name:RIVER'S EDGE ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:K
Authorized Official - Last Name:WERMLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-952-0262
Mailing Address - Street 1:4800 LOWER RIVER RD
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-8291
Mailing Address - Country:US
Mailing Address - Phone:406-952-0262
Mailing Address - Fax:406-952-0262
Practice Address - Street 1:4800 LOWER RIVER RD
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-8291
Practice Address - Country:US
Practice Address - Phone:406-952-0262
Practice Address - Fax:406-952-0262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No251S00000XAgenciesCommunity/Behavioral Health