Active NPI
Luxe Home Care
- Home Health Registered Nurse
- Missoula, MT
National Provider Identifier
1669123410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- LUXE HOME CARE
- Practice address
- 1715 S Reserve St Ste B
Missoula, MT 59801-4708 - Phone
- (406) 304-3015
- Fax
- (406) 304-3096
- NPI assigned
- Jan 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sabrina Daricek
- Title
- Owner
- Phone
- (808) 278-8258
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | Primary |
Addresses
Primary practice location
1715 S Reserve St Ste B
Missoula, MT 59801-4708
Mailing address
1715 S Reserve St Ste B
Missoula, MT 59801-4708
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PY6W2X5J7 | Other | MT | SHONDRA BROST, MEDICAL ASSISTANT LICENSE |
| 2021-MSS-GEN-00127 | Other | MT | BUSINESS LICENSE |
National Provider Directory
National Provider DirectoryLocations
1715 S Reserve St
Ste B
Missoula, MT 59801
Phone (406) 304-3015
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Aide
- Missoula, MT
- NPI 1871010918
-
- Licensed Practical Nurse
- Missoula, MT
- NPI 1558056549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663027200000",
"number": "1669123410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 S RESERVE ST STE B",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014708",
"fax_number": "406-304-3096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 S RESERVE ST STE B",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014708",
"telephone_number": "406-304-3015",
"fax_number": "406-304-3096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXE HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-13",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A",
"authorized_official_last_name": "DARICEK",
"authorized_official_first_name": "SABRINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-278-8258"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHONDRA BROST, MEDICAL ASSISTANT LICENSE",
"identifier": "PY6W2X5J7",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUSINESS LICENSE",
"identifier": "2021-MSS-GEN-00127",
"state": "MT"
}
],
"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 13, 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.