Individual provider Active NPI

Sabrina Kay Daricek

  • Home Health Aide
  • Missoula, MT
National Provider Identifier
1871010918
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2017MSSGEN00123 Issued in MT
Practice address
1715 S Reserve St Ste B
Missoula, MT 59801-4708
Phone
(406) 304-3015
Fax
(406) 304-3096
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 2017MSSGEN00123 MT Primary

Addresses

Primary practice location

1715 S Reserve St Ste B
Missoula, MT 59801-4708

Mailing address

513 N 3Rd St W
Missoula, MT 59802-2913
Phone (406) 304-7044

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sabrina@luxehomecaremt.onmicrosoft.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2017MSSGEN00123MTMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Luxe Home Care CurrentSince Jan 21, 2022 Accepting new patients
Easy Living Caregiving, LLC Home Health Aide PastSince Jul 24, 2022 Accepting new patients

Locations

1715 S Reserve St
Ste B
Missoula, MT 59801
Phone (406) 304-3015

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1871010918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 N 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022913",
            "telephone_number": "406-304-7044"
        },
        {
            "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": {
        "last_name": "DARICEK",
        "first_name": "SABRINA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MT",
            "license": "2017MSSGEN00123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sabrina@luxehomecaremt.onmicrosoft.com",
            "affiliation": "N",
            "address_1": "1715 S Reserve St Ste B",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598014708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 9, 2021; 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.