Provider Demographics
NPI:1467855619
Name:B W CARING CORPORATION
Entity type:Organization
Organization Name:B W CARING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DARON
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:BROOKER
Authorized Official - Suffix:
Authorized Official - Credentials:EXECUTIVE DIRECTOR
Authorized Official - Phone:406-696-6595
Mailing Address - Street 1:821 N 27TH ST PMB 314
Mailing Address - Street 2:PMB 314
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1121
Mailing Address - Country:US
Mailing Address - Phone:406-696-6595
Mailing Address - Fax:406-294-0967
Practice Address - Street 1:1209 MOSSMAN DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-6001
Practice Address - Country:US
Practice Address - Phone:406-696-6595
Practice Address - Fax:406-294-0967
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:B W CARING CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-02
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3801005322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTPENDINGMedicaid