PERSONALIZED SUPPORT SERVICES (NPI# 1538703715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538703715 |
| Entity Type | Organization |
| Organization Name | PERSONALIZED SUPPORT SERVICES |
| Practice Address |
1704 Jim Bridger Ave Casper WY 82604-3184 |
| Mailing Address |
Po Box 1805 Mills WY 82644-1805 |
| Practice Telephone | 3077971931 |
| Mailing Telephone | 3077971931 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Authorized Official Name | MRS. AMY CHRISTIE (CO-OWNER) |
| Authorized Official Telephone | 3077971931 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Personalized Support Services, LLC | 431 Cherry Street, Fort Collins, CO 80521 |
| Street Address |
1704 JIM BRIDGER AVE |
| City | CASPER |
| State | WY |
| Zip Code | 82604-3184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518489335 | Sasha Marie Baker | Behavior Technician | 945 Pendell Blvd, Casper, WY 82604 | 2017-07-13 |
| 1083161566 | Lori Norby | Registered Nurse | 6641 Monarch Ct, Casper, WY 82604 | 2016-09-01 |
| 1245601020 | Living for A Change LLC | Social Worker | 2045 Laramie Ave, Casper, WY 82604 | 2015-10-19 |
| 1225406754 | Patricia Masters | Respite Care | 6678 Bailey Place, Casper, WY 82604 | 2015-09-15 |
| 1619364437 | Daniel Dalen | Specialist/Technologist | 2342 Odell, Casper, WY 82604 | 2015-04-20 |
| 1568883064 | Rocky Mountain Holdings, LLC | Ambulance | 7798 Fuller St, Casper, WY 82604 | 2013-12-31 |
| 1902191638 | Diana Pauline Quealy-berge | Counselor | 3920 Swingle, Casper, WY 82604 | 2011-06-10 |
| 1093938839 | Kelly L Heenan | Counselor | 3741 Arroyo Drive, Casper, WY 82604 | 2007-04-10 |
| 1649393943 | Leslie Keeler | Case Manager/Care Coordinator | 630 10 Mile Road, Casper, WY 82604 | 2007-04-09 |
| 1386778223 | Wyoming Health Fairs | Technician, Pathology | 115 South Elm St, Casper, WY 82604 | 2007-03-15 |
| Find all providers in zip 82604 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760094411 | Shannon Christine Miller | Respite Care | 1750 New Mexico St, Green River, WY 82935-6252 | 2020-08-22 |
| 1225366925 | Kristy H Faddis | Respite Care | 164 Country Way, Evanston, WY 82930-9517 | 2009-11-18 |
| 1609021823 | Tiffany Jean Tate | Respite Care | 2245 Coyote Loop, Wilson, WY 83014-9668 | 2008-12-02 |
| 1184882482 | Debi Kovick | Respite Care | 1805 Montana Way, Green River, WY 82935-5918 | 2008-05-23 |
| 1003080003 | Curran-seeley Foundation | Respite Care | 610 W Broadway, Suite L-1, Jackson, WY 83001-1390 | 2008-04-22 |
| 1942493879 | Suze Marie Kanack | Respite Care | 207 W Madison Ave, Riverton, WY 82501-4247 | 2007-08-23 |
| 1366586802 | Victoria Leola Green | Respite Care | 655 E Burkitt St, Sheridan, WY 82801-4401 | 2007-02-17 |
| 1710046354 | Forget-me-not Adult Day Care, Inc. | Respite Care | 503 11th St, Wheatland, WY 82201-2803 | 2006-12-08 |
| 1962647016 | Cisco John Oldani | Respite Care | 2245 Coyote Loop, Wilson, WY 83014-9668 | 2008-12-03 |
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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.