LINCOLN SELF RELIANCE, INC. (NPI# 1528112620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528112620 |
| Entity Type | Organization |
| Organization Name | LINCOLN SELF RELIANCE, INC. |
| Practice Address |
1038 South Washington Afton WY 83110-1449 |
| Mailing Address |
Po Box 1449 1038 South Washington Afton WY 83110-1449 |
| Practice Telephone | 3078851577 |
| Practice Fax Number | 3078852577 |
| Mailing Telephone | 3078851577 |
| Mailing Fax Number | 3078852577 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | MR. DARREL G SKINNER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3078851577 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 116099100 | WY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 116099100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295068674 | Lincoln Self Reliance, Inc. | Case Management | 1038 South Washington, Afton, WY 83110 | 2009-09-16 |
| Street Address |
1038 SOUTH WASHINGTON |
| City | AFTON |
| State | WY |
| Zip Code | 83110-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043518053 | Courtney Kay Hunt | Case Manager/Care Coordinator | 1038 South Washington, Afton, WY 83110 | 2011-03-01 |
| 1295068674 | Lincoln Self Reliance, Inc. | Case Management | 1038 South Washington, Afton, WY 83110 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269569 | Allred Performance and Rehabilitation LLC | Physical Therapist | 533 Allred Rd, Afton, WY 83110 | 2020-09-15 |
| 1427691211 | Rhet Mitchell Long | Pharmacist | 307 S Washington, Afton, WY 83110 | 2019-10-24 |
| 1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
| 1649737560 | Our Valley Pharmacy | Pharmacy | 307 South Washington, Afton, WY 83110 | 2019-02-27 |
| 1073090585 | Star Valley Healthcare, Inc. | Home Health | 625 S Washington St, Ste B, Afton, WY 83110 | 2018-07-26 |
| 1669962247 | Easy Access LLC. | Durable Medical Equipment & Medical Supplies | 152 Hillview Dr., Afton, WY 83110 | 2018-05-18 |
| 1457890659 | Beyond Home Living, LLC | Assisted Living Facility | 153 Doyle Child Circle, Afton, WY 83110 | 2017-02-21 |
| 1396294914 | Jamie Armstrong | Speech-Language Pathologist | 675 Washington, Afton, WY 83110 | 2016-09-23 |
| 1295184398 | Northwest Home Health LLC | Home Health | 422 South Washington, Ste F, Afton, WY 83110 | 2016-06-09 |
| 1811363955 | Ashley Hall | Registered Nurse | 125 South Washington, Afton, WY 83110 | 2015-08-12 |
| Find all providers in zip 83110 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326446568 | Quality Case Management | Day Training, Developmentally Disabled Services | 280 S Washington, Afton, WY 83110-0585 | 2014-12-19 |
| 1982916854 | Steven Wayne Amann | Day Training, Developmentally Disabled Services | 519 Jefferson Street, Afton, WY 83110-1547 | 2010-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524628 | Mac Patrik Reynolds | Day Training, Developmentally Disabled Services | 620 W Prosser Rd Lot H, Cheyenne, WY 82007-3054 | 2020-09-28 |
| 1780201483 | Richard Doug Bebout | Day Training, Developmentally Disabled Services | 535 Pioneer Ave, Riverton, WY 82501-3248 | 2020-06-29 |
| 1376169128 | Jodi Thornhill | Day Training, Developmentally Disabled Services | 900 Camel Dr. Ste. Gg, Pmb #154, Gillette, WY 82716-4974 | 2020-06-17 |
| 1235751389 | B.a.c.a. Case Managment LLC | Day Training, Developmentally Disabled Services | 6500 Longabaugh Way, Cheyenne, WY 82009-9699 | 2020-05-12 |
| 1861012866 | Aunkia Fowler and Associates LLC | Day Training, Developmentally Disabled Services | 8101 Shady Lane, Evansville, WY 82636 | 2020-04-20 |
| 1194356782 | Rebekah Vondenkamp | Day Training, Developmentally Disabled Services | 832 Walnut St, Rock Springs, WY 82901-7104 | 2020-01-31 |
| 1689224305 | Care Partners of Wyoming | Day Training, Developmentally Disabled Services | 142 N Melrose St, Casper, WY 82601-2735 | 2019-09-14 |
| 1366910770 | Haley D Gray | Day Training, Developmentally Disabled Services | 3800 Overdale Dr, Gillette, WY 82718-7633 | 2018-11-05 |
| 1578043006 | Elaina Elizabeth Oliver | Day Training, Developmentally Disabled Services | 3832 Andersen Ln, Wilson, WY 83014-9194 | 2018-08-15 |
| 1073009403 | Christopher Aaron Grooms | Day Training, Developmentally Disabled Services | 1745 E 22nd St, Cheyenne, WY 82001-4138 | 2018-07-09 |
| Find all providers with the same taxonomy | ||||
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| 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.