Provider Demographics
NPI:1194433722
Name:TWO SISTERS HOME CARE OF MONTANA -LLC
Entity type:Organization
Organization Name:TWO SISTERS HOME CARE OF MONTANA -LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-378-3152
Mailing Address - Street 1:PO BOX 1303
Mailing Address - Street 2:
Mailing Address - City:BIG SANDY
Mailing Address - State:MT
Mailing Address - Zip Code:59520-1303
Mailing Address - Country:US
Mailing Address - Phone:406-378-3152
Mailing Address - Fax:
Practice Address - Street 1:200 STONEGATE DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-3638
Practice Address - Country:US
Practice Address - Phone:406-378-3152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TWO SISTERS HOME CARE OF MONTANA -LLC BIG SANDY BRANCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-14
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child