NPI 1629803770 · live from the CMS NPI Registry
Consumer Direct Care Network Indiana, LLC
Home Health Aide in Missoula, MT. National Provider Identifier 1629803770, active.
NPI record
| NPI | 1629803770 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health Aide 374U00000X |
| Practice location | 100 Consumer Direct Way, Missoula, MT 59808 |
| Practice phone | 406-532-2926 |
| Enumerated | September 6, 2024 |
| Last updated | September 6, 2024 |
| Authorized official | Holly Stephens, Legal Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide primary | 374U00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.