MEDICARE: ROCKY MOUNTAIN HOME CARE II, 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
1	251E00000X	Home Health Agency	12930	MT

General Provider Information

NPI Number	:	1659690535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKY MOUNTAIN HOME CARE II, LLC

Provider Business Mailing Address
First Line	:	10 CADILLAC DRIVE
Second Line	:	SUITE 400
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-1001
Country	:	US
Telephone Number	:	615-377-7022
Fax Number	:	615-373-4457

Provider Business Practice Location Address
First Line	:	490 N 31ST ST STE 130B
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-1256
Country	:	US
Telephone Number	:	406-652-8883
Fax Number	:	406-652-8879

Authorized Official
Title or Position	:	SVP GENERAL COUNSEL
Name	:	RUSSELL ADKINS
Credential	:
Telephone Number	:	615-309-5668

Provider Enumeration Date	:	05/18/2010
Last Update Date	:	07/11/2023

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