Healthcare Provider Details
I. General information
NPI: 1427868272
Provider Name (Legal Business Name): HEART OF MONTANA ELDERCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/13/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2715 S 28TH RD
WORDEN MT
59088-2331
US
IV. Provider business mailing address
2715 S 28TH RD
WORDEN MT
59088-2331
US
V. Phone/Fax
- Phone: 406-320-2037
- Fax:
- Phone: 406-320-2037
- 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 | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAURA
BARNES
Title or Position: CO-OWNER
Credential:
Phone: 406-320-2037