Provider Demographics
NPI:1942740642
Name:BILLINGS MT HOMECARE LLC
Entity Type:Organization
Organization Name:BILLINGS MT HOMECARE LLC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:JON
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-794-3313
Mailing Address - Street 1:1211 GRAND AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-4213
Mailing Address - Country:US
Mailing Address - Phone:406-794-3313
Mailing Address - Fax:406-794-3321
Practice Address - Street 1:1211 GRAND AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4213
Practice Address - Country:US
Practice Address - Phone:406-794-3313
Practice Address - Fax:406-794-3321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care