# PINE & RIVER HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861328072
- **Authorized official:** CHARLES THADDEUS BARRUS CNA (OWNER)
- **Authorized official phone:** (406) 402-1201

## Contact information

- **Practice address:** 62 TIMBER RIDGE RD, NOXON, MT 59853-9011
- **Practice address phone:** (406) 402-1201
- **Mailing address:** PO BOX 178, NOXON, MT 59853-0178
- **Mailing address phone:** (406) 402-1201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/23/2026
- **Last updated:** 06/23/2026