=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962280313
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LITTLE BELT HOME CARE SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/18/2023
-----------------------------------------------------
Last Update Date | 03/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 66580 MT HIGHWAY 80
-----------------------------------------------------
City | STANFORD
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59479-9433
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-350-2722
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 66580 MT HIGHWAY 80
-----------------------------------------------------
City | STANFORD
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59479-9433
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-350-2722
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | EMILY ANNE RIDGEWAY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 406-350-2722
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------