Angie Mitchell
Individual provider Active NPI Home Health Agency · Laurel, MT
NPI 1245890201 · NPPES record last updated Jun 20, 2019
Key facts
- NPI
- 1245890201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 714 7TH Ave
Laurel, MT 59044-1922 - Phone
- (406) 628-2355
- NPI assigned
- Jun 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
714 7TH Ave
Laurel, MT 59044-1922
Mailing address
714 7TH Ave
Laurel, MT 59044-1922
Phone (406) 628-2355
Other practice location 1
714 7th Ave
Laurel, MT 59044-1922
Phone (406) 628-2355
Other providers in Laurel, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.