CASPER HEALTHCARE LLC (NPI# 1588697742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588697742 |
| Entity Type | Organization |
| Organization Name | CASPER HEALTHCARE LLC |
| Other Organization Name | SHEPHERD OF THE VALLEY HEALTHCARE CENTER |
| Practice Address |
60 Magnolia Casper WY 82604-3801 |
| Practice Telephone | 3072349381 |
| Practice Fax Number | 3072346205 |
| Mailing Telephone | 3072349381 |
| Mailing Fax Number | 3072346205 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2012-05-08 |
| Authorized Official Name | MR. THOMAS E BOERBOOM (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9528737907 |
| Is Organization Subpart | Y |
| Parent Organization Name | MISSION HEALTHCARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 10216 | WY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 106292100 | 05 |
| Other Name | Type Code |
|---|---|
| Shepherd of the Valley Healthcare Center | Doing Business As Name - Organization |
| Street Address |
60 MAGNOLIA |
| City | CASPER |
| State | WY |
| Zip Code | 82604-3801 |
| 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 | 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 |
|---|---|---|---|---|
| 1700907029 | Ssc Casper Operating Company LLC | Skilled Nursing Facility | 4305 S Poplar St, Casper, WY 82601-6106 | 2007-04-03 |
| 1467540070 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 4041 S Poplar St, Casper, WY 82601-5928 | 2006-10-10 |
| 1750840468 | Casper Opco LLC | Skilled Nursing Facility | 4305 S Poplar St, Casper, WY 82601-6106 | 2019-03-13 |
| 1306318274 | Empres At Casper, LLC | Skilled Nursing Facility | 60 Magnolia St, Casper, WY 82604-4035 | 2018-12-17 |
| 1417498783 | Casper Operations, LLC | Skilled Nursing Facility | 4041 S Poplar St, Casper, WY 82601-5928 | 2017-03-20 |
| 1356433957 | Wyoming Medical Center Inc | Skilled Nursing Facility | 1233 E 2nd Street, Casper, WY 82601 | 2006-09-29 |
| 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 |
| 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 |
| 1104984376 | Thermopolis Health Care, Inc | Skilled Nursing Facility | 1210 Canyon Hills Rd, Thermopolis, WY 82443-3137 | 2006-12-04 |
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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.