1477926848 NPI number — MEADOWLARK HOME CARE LLC

Table of content: (NPI 1477926848)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477926848 NPI number — MEADOWLARK HOME CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEADOWLARK HOME CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477926848
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
800 KENSINGTON AVE STE LL3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MISSOULA
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59801-5670
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-239-8777
Provider Business Mailing Address Fax Number:
406-926-1501

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 KENSINGTON
Provider Second Line Business Practice Location Address:
SUITE LL3
Provider Business Practice Location Address City Name:
MISSOULA
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59801
Provider Business Practice Location Address Country Code:
UM
Provider Business Practice Location Address Telephone Number:
406-239-8777
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2015

Additional Information

Authorized Official

Authorized Official Last Name:
REDMAN
Authorized Official First Name:
NATALIE
Authorized Official Middle Name:
R
Authorized Official Title or Position:
CO- OWNER
Authorized Official Telephone Number:
406-926-3447

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0391709 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".




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