Big Sky Home Care Services L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

C152351 Issued in MT

Legal business name

BIG SKY HOME CARE SERVICES L.L.C.

Practice address

1 Jackson Creek Road
PMB 2197
Montana City, MT 59634

Phone

(406) 442-2984

NPI assigned

May 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Conda Poland

Title

Owner

Phone

(406) 442-2984

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205048121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JACKSON CREEK ROAD",
            "address_2": "PMB 2197",
            "city": "MONTANA CITY",
            "state": "MT",
            "postal_code": "59634",
            "telephone_number": "406-442-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JACKSON CREEK ROAD",
            "address_2": "PMB 2197",
            "city": "MONTANA CITY",
            "state": "MT",
            "postal_code": "59634",
            "telephone_number": "406-442-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SKY HOME CARE SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLAND",
        "authorized_official_first_name": "CONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-442-2984",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MT",
            "license": "C152351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000380562",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000471104",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000651202",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.