Healthcare Provider Details

I. General information

NPI: 1710769039
Provider Name (Legal Business Name): PURPOSE OF LIFE HOMECARE MONTANA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2023
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 CENTRAL AVE
BILLINGS MT
59102-5889
US

IV. Provider business mailing address

711 CENTRAL AVE
BILLINGS MT
59102-5889
US

V. Phone/Fax

Practice location:
  • Phone: 844-888-0497
  • Fax:
Mailing address:
  • Phone: 844-888-0497
  • Fax: 844-888-0497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DEONDRALIQUE GREENE
Title or Position: ADMINISTRATOR
Credential:
Phone: 817-404-6150