Homestead Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOMESTEAD HEALTH, LLC

Doing business as

Homestead Health

Practice address

903 Horse Creek Rd
Circle, MT 59215-7123

Phone

(406) 852-0343

NPI assigned

Jul 27, 2022

Last updated

Jul 27, 2022By 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

Latoya Susanne Marie Gardner, RN

Title

Owner, RN

Phone

(406) 852-0343

Specialties & licenses 1

Addresses

Other names 1

• Homestead Health Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295461606. Details of each certification follow.

• CCN 277301 Home health agency · Active · Details

Home health agency certification: CCN 277301

Legal name

HOMESTEAD HEALTH, LLC

Doing business as

HOMESTEAD HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 1, 2023

Last certification

Mar 1, 2023

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 19, 2019 in MT

Enrollment address

208 B Dr
Circle, MT 59215-7527

Listed as

Homestead Health LLCCCN 277301 · All quality measures

Ownership

Proprietary

Certified

Mar 1, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Abbey M Barnhart, PA-C

  • Physician Assistant
  • Broadus, MT
  • NPI 1770835340

  Home health agency

  Care Compare affiliation
• Andrew Fahlgren, MD

  • Internal Medicine Physician
  • Glasgow, MT
  • NPI 1598175754

  Home health agency

  Care Compare affiliation
• David Arthur Knierim, M.D.

  • Family Medicine Physician
  • Glasgow, MT
  • NPI 1720346075

  Home health agency

  Care Compare affiliation
• Robert W Gneiting, FNP

  • Family Nurse Practitioner
  • Unalaska, AK
  • NPI 1225105919

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1295461606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "CIRCLE",
            "state": "MT",
            "postal_code": "592150245",
            "telephone_number": "406-852-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 HORSE CREEK RD",
            "city": "CIRCLE",
            "state": "MT",
            "postal_code": "592157123",
            "telephone_number": "406-852-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "SUSANNE MARIE",
        "authorized_official_title_or_position": "OWNER, RN",
        "authorized_official_telephone_number": "406-852-0343",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Beery
• Teresa Beth Conroy, RN
• County of McCone (McCone County Public Health Department)
• County of McCone School District #1 (County of McCone School District #1 IEP)
• Sue Good-Brown
• Mandi Jo Martin
• McCone County Health Center Inc (McCone Clinic)
• McCone County Health Center Inc (McCone Clinic)
• McCone County Health Center, Inc.
• Shayna Phalen, MPT

• Home Health Agency in Circle, MT
• Providers in Circle, MT by specialty
• Home Health Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.