KIMBERLY HEALTH SYSTEMS (NPI# 1255332383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255332383 |
| Entity Type | Organization |
| Organization Name | KIMBERLY HEALTH SYSTEMS |
| Other Organization Name | MICHAEL MANOR |
| Practice Address |
1108 Birch St Douglas WY 82633-2761 |
| Practice Telephone | 3073583397 |
| Mailing Telephone | 3073583397 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. BEVERLY J WILSON (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 3073583397 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 06-116 | WY | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Michael Manor | Doing Business As Name - Organization |
| Street Address |
1108 BIRCH ST |
| City | DOUGLAS |
| State | WY |
| Zip Code | 82633-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528441029 | Laramie Peak Therapies, LLC | Clinic/Center | 1108 Birch St, Douglas, WY 82633-2761 | 2015-07-01 |
| 1306965165 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch St, Douglas, WY 82633-2761 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304399 | A Keeler Family Dental, LLC | Dentist | 1010 E Richards Street, Douglas, WY 82633 | 2014-03-21 |
| 1578836805 | Dawn Marie Marchak-cundy | Counselor | 1841 Madora Avenue, Douglas, WY 82633 | 2012-02-16 |
| 1982894739 | Tanisha Crystal Dexter | Pharmacist | 1202 East Richards Street, Douglas, WY 82633 | 2007-07-27 |
| 1669521324 | Stephan Paul Ediss | Chiropractor | 1330 E. Richards, Douglas, WY 82633 | 2007-01-10 |
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1255438651 | County of Converse | Public Health or Welfare | 442 Center, Douglas, WY 82633 | 2006-09-20 |
| 1104834134 | Mark W Townsend | Dentist | 820 So 10th, Douglas, WY 82633 | 2006-08-04 |
| 1548206642 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch, Douglas, WY 82633 | 2006-06-20 |
| 1023061223 | North Platte Physical Therapy Services Inc | Physical Therapist | Crook Co Memorial Serv Dist, Sundance, WY 82633 | 2006-05-18 |
| 1902447477 | Amanda Kay Dykes | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633 | 2019-10-04 |
| Find all providers in zip 82633 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760652853 | Douglas Investments & Associates, LLC | Skilled Nursing Facility | 243 Wiley Rd, Douglas, MI 49406-5108 | 2008-03-05 |
| 1881623098 | Coffee County Nursing Home LLC | Skilled Nursing Facility | 1310 Gordon St W, Douglas, GA 31533-3432 | 2006-07-01 |
| 1548206642 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch, Douglas, WY 82633 | 2006-06-20 |
| 1588650543 | Nanmax Health Management Inc | Skilled Nursing Facility | 243 Wiley Road, Douglas, MI 49406-0217 | 2005-09-26 |
| 1831195460 | Infinia At Douglas | Skilled Nursing Facility | 1400 N San Antonio Ave, Douglas, AZ 85607-2434 | 2005-06-28 |
| 1073850319 | Haven of Douglas, LLC | Skilled Nursing Facility | 1400 N San Antonio Ave, Douglas, AZ 85607-2434 | 2013-01-07 |
| 1366681520 | La Solana Care and Rehab, Inc | Skilled Nursing Facility | 1400 N San Antonio Ave, Douglas, AZ 85607-2434 | 2009-02-11 |
| 1306965165 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch St, Douglas, WY 82633-2761 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337990 | State of Wyoming | Skilled Nursing Facility | 8204 Wyoming Highway 789, Lander, WY 82520-2941 | 2020-05-13 |
| 1194105684 | Saratoga Care Center, LLC | Skilled Nursing Facility | 207 Holly Avenue, Saratoga, WY 82331-0630 | 2015-06-01 |
| 1104169945 | Ekstroms Nursing, LLC | Skilled Nursing Facility | 111 Lewis Rd, Gillette, WY 82718-8847 | 2013-03-29 |
| 1962746222 | Deseret Health and Rehab At Rock Springs LLC | Skilled Nursing Facility | 1325 Sage St, Rock Springs, WY 82901-7478 | 2012-11-26 |
| 1649567710 | Opsal Nursing, LLC | Skilled Nursing Facility | 1906 Harvest Moon Dr, Gillette, WY 82718-7878 | 2011-07-08 |
| 1396034112 | Alternative Elder Living, Inc. | Skilled Nursing Facility | 2311 Shirley Cv, Sheridan, WY 82801-8306 | 2011-04-01 |
| 1700907029 | Ssc Casper Operating Company LLC | Skilled Nursing Facility | 4305 S Poplar St, Casper, WY 82601-6106 | 2007-04-03 |
| 1184745457 | Ssc Sheridan Operating Company LLC | Skilled Nursing Facility | 1851 Big Horn Ave, Sheridan, WY 82801-5913 | 2007-04-03 |
| 1134275175 | Castle Rock Special Hospital District | Skilled Nursing Facility | 1445 Uinta Dr, Green River, WY 82935-5004 | 2007-01-25 |
| 1083771679 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1990 W Loucks St, Sheridan, WY 82801-4500 | 2007-01-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIMBERLY HEALTH SYSTEMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.