Organization Active NPI

Consumer Direct Care Network Indiana, LLC

  • Home Health Aide
  • Missoula, MT
National Provider Identifier
1629803770
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
CONSUMER DIRECT CARE NETWORK INDIANA, LLC
Practice address
100 Consumer Direct Way
Missoula, MT 59808-5037
Phone
(406) 532-2926
NPI assigned
Sep 6, 2024
Organization subpart
Yes
Parent organization
CONSUMER DIRECT HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Holly Stephens, JD
Title
Legal Manager
Phone
(406) 532-2926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

100 Consumer Direct Way
Missoula, MT 59808-5037

Mailing address

100 Consumer Direct Way
Missoula, MT 59808-5037
Phone (406) 532-2926

National Provider Directory

National Provider Directory
Part of
Consumer Direct Holdings Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1629803770",
    "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",
            "telephone_number": "406-532-2926"
        },
        {
            "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 INDIANA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONSUMER DIRECT HOLDINGS, INC.",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "LEGAL MANAGER",
        "authorized_official_telephone_number": "406-532-2926",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.