Provider Demographics
NPI:1861758047
Name:SAPPHIRE LUTHERAN HOMES INC.
Entity type:Organization
Organization Name:SAPPHIRE LUTHERAN HOMES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:COLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-363-2800
Mailing Address - Street 1:501 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-2378
Mailing Address - Country:US
Mailing Address - Phone:406-363-2800
Mailing Address - Fax:406-363-3003
Practice Address - Street 1:501 N 10TH ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-2378
Practice Address - Country:US
Practice Address - Phone:406-363-2800
Practice Address - Fax:406-363-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X, 253Z00000X
MT13124310400000X, 311500000X
MT13187310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)