Carbon County Senior Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CARBON COUNTY SENIOR CARE, LLC

Practice address

4 Bighorn LN.
Red Lodge, MT 59068

Phone

(406) 425-0702

NPI assigned

Jun 22, 2018

Last updated

Jun 22, 2018By 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

Jody Ackerman

Title

Ceo

Phone

(406) 425-0707

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1760977706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1984",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "590681984",
            "telephone_number": "406-425-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BIGHORN LN.",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "59068",
            "telephone_number": "406-425-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON COUNTY SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-425-0707"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggi Blevins, RN
• Blue Creek Transport LLC
• Amy Brehm, RN
• Kayla Marie Briggs, PHARMD
• Gregory David Burfeind, M.D.
• City of Red Lodge (Red Lodge Fire & Rescue)
• Dallas Elise Clark, MD
• County of Carbon
• Jordan Thomas Dobmeier, DDS
• Kathleen Joyce Durant, D.C.

• In Home Supportive Care Agency in Red Lodge, MT
• Providers in Red Lodge, MT by specialty
• In Home Supportive Care Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.