Healthcare Provider Details

I. General information

NPI: 1740752492
Provider Name (Legal Business Name): CREDENCE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2018
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W MAIN ST UNIT 201
MANHATTAN MT
59741-2353
US

IV. Provider business mailing address

PO BOX 167
MANHATTAN MT
59741-0167
US

V. Phone/Fax

Practice location:
  • Phone: 406-600-0182
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DONNA NELMS
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 406-600-0182