1100 Texas Avenue Operations LLC
NPI 1821043621ActiveOrganization· Skilled Nursing Facility· Deer Lodge, MT
Skilled Nursing Facility in Deer Lodge, Montana, registered in NPPES in May 2006, part of Peak Medical Montana Operations LLC. The authorized official on file is Michael T. Berg, Assistant Secretary.
Overview
| NPI | 1821043621 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Peak Medical Montana Operations LLC |
| NPI issued | May 23, 2006 |
| Last updated in NPPES | May 17, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 12681 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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