Healthcare Provider Details
I. General information
NPI: 1588046726
Provider Name (Legal Business Name): ALLCARE CDS & FINANCIAL MANAGEMENT SERVICE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2015
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
60 E MCDERMOTT DR
ALLEN TX
75002
US
IV. Provider business mailing address
100 CONSUMER DIRECT WAY
MISSOULA MT
59808-5037
US
V. Phone/Fax
- Phone: 903-532-0017
- Fax: 877-905-1872
- Phone: 406-532-2001
- Fax: 406-542-6648
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251X00000X |
| Taxonomy | Supports Brokerage Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HOLLY
STEPHENS
Title or Position: LEGAL MANAGER
Credential:
Phone: 406-532-1929