Provider Demographics
NPI:1164310207
Name:TURTLE MOUNTAIN HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:TURTLE MOUNTAIN HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHASITY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:NRP, QSP
Authorized Official - Phone:770-324-5911
Mailing Address - Street 1:PO BOX 666
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:ND
Mailing Address - Zip Code:58367-0666
Mailing Address - Country:US
Mailing Address - Phone:770-550-0095
Mailing Address - Fax:
Practice Address - Street 1:513 2ND ST NE
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:ND
Practice Address - Zip Code:58367-7226
Practice Address - Country:US
Practice Address - Phone:701-550-0095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care