Organization Active NPI

Luxe Home Care

  • Home Health Registered Nurse
  • Missoula, MT
National Provider Identifier
1669123410
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
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

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Sabrina DaricekNPI 1871010918
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)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PY6W2X5J7OtherMTSHONDRA BROST, MEDICAL ASSISTANT LICENSE
2021-MSS-GEN-00127OtherMTBUSINESS LICENSE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.