LIFENET (NPI# 1881961357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881961357 |
| Entity Type | Organization |
| Organization Name | LIFENET |
| Practice Address |
809 S 9th St Douglas WY 82633-2959 |
| Practice Telephone | 3073585193 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | AIYANNA CURTIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3073585193 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811389364 | Lifenet | Case Management | 809 S. 9th Street, Douglas, WY 82633-2959 | 2015-02-20 |
| 1194114587 | Lifenet | Case Management | 106 East 2nd Ave., Yoder, WY 82244 | 2015-01-22 |
| 1437548054 | Lifenet | Case Management | 3001 Henderson Dr Ste N, Cheyenne, WY 82001-5840 | 2015-01-20 |
| 1881036028 | Lifenet | Ambulance | 5649 John Givens Rd, Crestview, FL 32539-7031 | 2013-07-29 |
| 1306180054 | Lifenet | Health Maintenance Organization | 9708 Skillman St, Dallas, TX 75243-5150 | 2012-11-19 |
| 1003150038 | Lifenet | Community/Behavioral Health | 9708 Skillman St, Dallas, TX 75243-5150 | 2012-11-15 |
| 1740539410 | Lifenet | Clinic/Center | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2012-09-10 |
| 1205195302 | Lifenet | Counselor | 9708 Skillman St, Dallas, TX 75243-5150 | 2012-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIFENET COMMUNITY BEHAVIORAL HEALTHCARE | 9708 Skillman St Rm 200, Dallas, TX 75243-5150 |
| Washington State Corporations | LIFENET FOUNDATION | 4526 Federal Ave, Everett, WA 98203 |
| System for Award Management (SAM) Entities | LIFENET HEALTH | 1864 Concert Dr, Virginia Beach, VA 23453-1903 |
| Oregon Corporations, Companies and Business Names | LIFENET HEALTH | 1864 Concert Dr, Virginia Beach, VA 23453 |
| Washington State Corporations | LIFENET HEALTH | 1864 Concert Dr, Virginia Beach, VA 23453-1903 |
| Iowa Business Entities | LIFENET HEALTH | 1864 Concert Drive, Virginia Beach, VA 23453 |
| Virginia Business Entities | LifeNet Health | 1864 Concert Drive, Virginia Beach, Virginia 23453 |
| New York State Corporations | LIFENET HEALTH | 1864 Concert Drive, Virginia Beach, Va 23453 |
| Washington State Corporations | LIFENET HEALTH NORTHWEST, LLC | 501 Sw 39th St, Renton, WA 98057 |
| New York State Corporations | LIFENET INC. | 7001 Brush Hollow Rd, Ste 214, Westbury, Ny 11590 |
| Street Address |
809 S 9TH ST |
| City | DOUGLAS |
| State | WY |
| Zip Code | 82633-2959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962889303 | Aiyanna Curtis | Behavioral Analyst | 809 S 9th St, Douglas, WY 82633-2959 | 2015-05-06 |
| 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 | 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 |
|---|---|---|---|---|
| 1184047292 | Mountainside Assisted Living Home | Day Training, Developmentally Disabled Services | 633 5th St, Douglas, AK 99824-5512 | 2014-01-24 |
| 1992842041 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 920 College Park Dr W, Douglas, GA 31533 | 2007-01-30 |
| 1811350903 | Raindrop Services LLC | Day Training, Developmentally Disabled Services | 625 5th St, Douglas, AK 99824-5512 | 2016-04-05 |
| 1780956458 | Coffee Cs Comp | Day Training, Developmentally Disabled Services | 920 College Park Dr W, Douglas, GA 31533-2124 | 2012-01-27 |
| 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.