CARBON COUNTY SENIOR CARE, LLC (NPI# 1760977706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760977706 |
| Entity Type | Organization |
| Organization Name | CARBON COUNTY SENIOR CARE, LLC |
| Practice Address |
4 Bighorn Ln. Red Lodge MT 59068 |
| Mailing Address |
Po Box 1984 Red Lodge MT 59068-1984 |
| Practice Telephone | 4064250702 |
| Mailing Telephone | 4064250702 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |
| Authorized Official Name | JODY ACKERMAN (CEO) |
| Authorized Official Telephone | 4064250707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
4 BIGHORN LN. |
| City | RED LODGE |
| State | MT |
| Zip Code | 59068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947941 | John Joseph Monroe | Counselor | 515 W 22nd St, Red Lodge, MT 59068 | 2019-05-14 |
| 1174052302 | Kelsey Jo Fraser | Dentist | 515 N Broadway Ave Ste 4, Red Lodge, MT 59068 | 2017-06-10 |
| 1285085795 | Gregory Moos | Dentist | 515 Broadway Ave. North, Red Lodge, MT 59068 | 2016-06-27 |
| 1104186832 | The Willows | Assisted Living Facility | 2475 North Broadway, Red Lodge, MT 59068 | 2012-05-29 |
| 1124391776 | Bruce Robert Fishburn | Ophthalmology | 16 Lower Wapiti Valley Road, Red Lodge, MT 59068 | 2012-02-13 |
| 1235409988 | Wayne Allen Hill | Radiology | 397 Highway 78, Red Lodge, MT 59068 | 2012-01-11 |
| 1346372182 | Lynn Kathleen Zavala | Physical Therapist | 600 W 21st St, Red Lodge, MT 59068 | 2007-03-09 |
| 1073677084 | Nancy Mcgrade | Counselor | 1 N Broadway, Red Lodge, MT 59068 | 2006-12-21 |
| 1306908785 | Steven Wallace Fugere | Occupational Therapist | 600 West 21st Str., Red Lodge, MT 59068 | 2006-12-14 |
| 1467512244 | Laurie Barnard | Speech-Language Pathologist | 422 15th Street West, Red Lodge, MT 59068 | 2006-12-11 |
| Find all providers in zip 59068 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708961 | Client Dedicated Services, Inc | In Home Supportive Care | 2110 South Ave W, Missoula, MT 59801-6504 | 2020-01-02 |
| 1932746914 | Lindsey Klebenow | In Home Supportive Care | 601 Nikles Dr Ste 2d, Bozeman, MT 59715-2588 | 2019-12-09 |
| 1639725393 | Mary Ann Hansen | In Home Supportive Care | 42095 Mt Highway 83, Bigfork, MT 59911-7838 | 2019-08-16 |
| 1124586607 | Pangea Health Services LLC | In Home Supportive Care | 4254 Bordeaux Blvd, Missoula, MT 59808-9686 | 2019-03-04 |
| 1740752492 | Credence Home Care LLC | In Home Supportive Care | 108 W Main St Unit 201, Manhattan, MT 59741-2353 | 2018-12-19 |
| 1154899987 | Golden Opportunities, LLC | In Home Supportive Care | 1941 Strand Ave, Missoula, MT 59801-5409 | 2018-11-09 |
| 1780124347 | Harvest Home Care Inc | In Home Supportive Care | 2407 Schilling St Apt C, Missoula, MT 59801-7548 | 2017-03-02 |
| 1972052363 | Rl & Dl Ventures, LLC | In Home Supportive Care | 1645 Parkhill Dr Ste 3, Billings, MT 59102-3067 | 2016-09-26 |
| 1619325016 | Hestia In-home Support LLC | In Home Supportive Care | 700 Sw Higgins Ave Ste 102, Missoula, MT 59803-1489 | 2016-05-26 |
| 1467808725 | Sheena Mickael Hensley | In Home Supportive Care | 125 W Granite St Ste 106, Butte, MT 59701-9215 | 2016-05-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.