Provider Demographics
NPI:1578221644
Name:YELLOWSTONE CARE LLC
Entity Type:Organization
Organization Name:YELLOWSTONE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPOJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-999-1196
Mailing Address - Street 1:PO BOX 556
Mailing Address - Street 2:
Mailing Address - City:THREE FORKS
Mailing Address - State:MT
Mailing Address - Zip Code:59752-0556
Mailing Address - Country:US
Mailing Address - Phone:406-559-0300
Mailing Address - Fax:
Practice Address - Street 1:1862 SONGBIRD DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7613
Practice Address - Country:US
Practice Address - Phone:406-559-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health