LEGACY HOME ASSISTED LIVING (NPI# 1750588851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750588851 |
| Entity Type | Organization |
| Organization Name | LEGACY HOME ASSISTED LIVING |
| Practice Address |
2391 Muddy String Co. Road 122 Thayne WY 83127 |
| Practice Telephone | 3078833800 |
| Mailing Telephone | 3078833800 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-09-17 |
| Authorized Official Name | EILEEN MERRITT (OWNER MANGER) |
| Authorized Official Telephone | 3078833800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
2391 MUDDY STRING CO. ROAD 122 |
| City | THAYNE |
| State | WY |
| Zip Code | 83127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012383 | Susan M. Miner | Nurse Practitioner | 487 N. Main St. #2, Thayne, WY 83127 | 2020-10-27 |
| 1679118160 | Stephan Badgett | Social Worker | 383 N Main St, Thayne, WY 83127 | 2019-11-08 |
| 1629402078 | Kyle C Lancaster | Pharmacist | 118 Peterson Pkwy, Thayne, WY 83127 | 2013-08-21 |
| 1225478894 | Our Valley Pharmacy | Durable Medical Equipment & Medical Supplies | 118 Petersen Pkwy, Thayne, WY 83127 | 2013-06-27 |
| 1073892816 | Jennifer Suzanne Knowlton | Counselor | 383 N Main St, 2nd Floor, Thayne, WY 83127 | 2011-08-10 |
| 1619117348 | Access Hospice Care LLC | Home Health | 102293 Hwy 89, Thayne, WY 83127 | 2009-02-20 |
| 1801034475 | Access Home Care LLC | Home Health | 102293 Hyw 89 S, Thayne, WY 83127 | 2009-02-04 |
| 1528206661 | Scott M. Sessions | Chiropractor | 383 N Main Street, Suite 1, Thayne, WY 83127 | 2009-01-28 |
| 1518121748 | Sandra Marcoccia Sears | Social Worker | 624 Alpine Way, Star Valley Ranch, WY 83127 | 2008-07-16 |
| 1093984510 | Alliance Hospice of Star Valley | Hospice Care, Community Based | 63 Bridger Dr, Thayne, WY 83127 | 2008-02-28 |
| Find all providers in zip 83127 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578035440 | Casper Independent Living, LLC | Assisted Living Facility | 77 Gardenia St, Casper, WY 82604-3803 | 2018-12-17 |
| 1437659877 | Mountain Lodge LLC | Assisted Living Facility | 1110 Birch St, Douglas, WY 82633-2761 | 2018-02-12 |
| 1457890659 | Beyond Home Living, LLC | Assisted Living Facility | 153 Doyle Child Circle, Afton, WY 83110 | 2017-02-21 |
| 1730570128 | Elder Care Inc | Assisted Living Facility | 682 N Main St, Buffalo, WY 82834-1736 | 2015-02-07 |
| 1538581137 | Dubois Assisted Living, Inc | Assisted Living Facility | 5643 Us Highway 26, Dubois, WY 82513-1839 | 2014-01-16 |
| 1962679175 | Sheridan Senior Living, LLC | Assisted Living Facility | 1551 Sugarland Dr, Sheridan, WY 82801 | 2008-05-15 |
| 1184811143 | Jackson Hole Senior Living, LLC | Assisted Living Facility | 3000 W Big Trail Dr, Jackson Hole, WY 83001-9138 | 2007-10-03 |
| 1932327517 | Cody Senior Living, LLC | Assisted Living Facility | 2401 Cougar Ave, Cody, WY 82414-8499 | 2007-04-22 |
| 1346360377 | Aspen Wind Assisted Living Community, LLC | Assisted Living Facility | 4010 N College Dr, Cheyenne, WY 82001-1960 | 2007-03-31 |
| 1467585034 | Park Place Assisted Living LLC | Assisted Living Facility | 1930 E 12th St, Casper, WY 82601-4075 | 2007-03-13 |
| 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.