NPI 1780415489 · live from the CMS NPI Registry
Consumer Direct Care Network New York, LLC
In Home Supportive Care in Missoula, MT. National Provider Identifier 1780415489, active.
NPI record
| NPI | 1780415489 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 100 Consumer Direct Way, Missoula, MT 59808 |
| Practice phone | 406-532-2926 |
| Enumerated | August 13, 2024 |
| Last updated | August 13, 2024 |
| Authorized official | Ben Bledsoe, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | — |
| In Home Supportive Care primary | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.