RAE ANN MOXLEY – NPI #1760734149
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

RAE ANN MOXLEY is a community based residential treatment facility located in LIBBY, MT. NPPES has assigned the NPI number 1760734149 to RAE ANN MOXLEY on October 09, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. RAE ANN MOXLEY is also known by the name GRACE ASSISTED LIVING. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RAE ANN MOXLEY below.

NPI Profile for
RAE ANN MOXLEY

NPI Number
1760734149
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RAE ANN MOXLEY
Other Name: GRACE ASSISTED LIVING
Primary location
459 CONIFER RD
LIBBY, MT 59923-2966
Phone: (406) 295-9980 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RAE MOXLEY
SOLE PROPRIETOR
Phone: (406) 293-9980
Updated
Identifiers

Identifiers for RAE ANN MOXLEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMT ST DEPT. OF PUBLIC HEALTH AND HUMAN SERVICES LICENSE FOR ADULT FOSTER HOMEMT0044364-001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
MT 0044364-001

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.