Healthcare Provider Details
I. General information
NPI: 1942813449
Provider Name (Legal Business Name): STELLA MARIS HEALTH & HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2020
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1643 24TH ST W STE 314
BILLINGS MT
59102-2677
US
IV. Provider business mailing address
950 S CHERRY ST STE 716
DENVER CO
80246-2665
US
V. Phone/Fax
- Phone: 406-371-7300
- Fax:
- Phone: 347-838-0053
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DOV
ORT
Title or Position: COO
Credential:
Phone: 347-838-0053