Consumer Direct Care Network Pennsylvania, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CONSUMER DIRECT CARE NETWORK PENNSYLVANIA, LLC

Practice address

100 Consumer Direct Way
Missoula, MT 59808-5037

Phone

(406) 532-2926

NPI assigned

May 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ben Bledsoe

Title

President

Phone

(406) 523-2001

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1154068328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CONSUMER DIRECT WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598085037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CONSUMER DIRECT WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598085037",
            "telephone_number": "406-532-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSUMER DIRECT CARE NETWORK PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "BLEDSOE",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-523-2001"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Connors-Gaul, RPH
• Rowan W Conrad
• Brooke Victoria Conrady, FNP
• Consumer Direct Care Network Indiana, LLC
• Consumer Direct Care Network New York, LLC
• Consumer Direct Care Network Rhode Island
• Consumer Direct Care Network South Dakota, LLC
• Consumer Direct Care Network Vermont, LLC
• Consumer Direct Care Network Virginia
• Consumer Direct Care Network, LLC

• In Home Supportive Care Agency in Missoula, MT
• Providers in Missoula, MT by specialty
• In Home Supportive Care Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.