Healthcare Provider Details

I. General information

NPI: 1952007049
Provider Name (Legal Business Name): TWO SISTERS HOME CARE OF MONTANA -LLC BIG SANDY BRANCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2023
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

482 MICHIGAN ST
BIG SANDY MT
59520-7704
US

IV. Provider business mailing address

PO BOX 1303
BIG SANDY MT
59520-1303
US

V. Phone/Fax

Practice location:
  • Phone: 406-378-3152
  • Fax:
Mailing address:
  • Phone: 406-378-3152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: SARAH KAY SHAW
Title or Position: OWNER
Credential:
Phone: 406-378-3152