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NPI Code Detail

MEDICARE: CONSUMER DIRECT SERVICES FOR NEVADA, LLC

MEDICARE: CONSUMER DIRECT SERVICES FOR NEVADA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency
33747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1336620384
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONSUMER DIRECT SERVICES FOR NEVADA, LLC
Provider Business Mailing Address
First Line : 100 CONSUMER DIRECT WAY
Second Line :
City : MISSOULA
State : MT
Zip : 59808-5037
Country : US
Telephone Number : 406-532-1929
Fax Number :
Provider Business Practice Location Address
First Line : 1005 TERMINAL WAY STE 125
Second Line :
City : RENO
State : NV
Zip : 89502-2198
Country : US
Telephone Number : 775-786-4999
Fax Number :
Authorized Official
Title or Position : LEGAL MANAGER
Name : HOLLY STEPHENS
Credential :
Telephone Number : 406-532-1929
Provider Enumeration Date : 08/28/2018
Last Update Date : 04/21/2025

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Directions to “CONSUMER DIRECT SERVICES FOR NEVADA, LLC ” Practice Location

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