LARAMIE NURSING AND REHAB CENTER, LLC (NPI# 1891337465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891337465 |
| Entity Type | Organization |
| Organization Name | LARAMIE NURSING AND REHAB CENTER, LLC |
| Practice Address |
503 S 18th St Laramie WY 82070-4303 |
| Mailing Address |
1376 E 3300 S Salt Lake City UT 84106-3069 |
| Practice Telephone | 8016011450 |
| Mailing Telephone | 8016011450 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | BROOKE HIXSON (CONTROLLER) |
| Authorized Official Telephone | 8016011450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
503 S 18TH ST |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619923224 | Five Star Quality Care-wy LLC | Skilled Nursing Facility | 503 S 18th St, Laramie, WY 82070-4303 | 2006-05-25 |
| 1962017533 | Catherine A Shafer | Occupational Therapy Assistant | 503 S 18th St, Laramie, WY 82070-4303 | 2020-09-10 |
| 1871106518 | Jesse Luke Mann | Physical Therapy Assistant | 503 S 18th St, Laramie, WY 82070-4303 | 2020-08-24 |
| 1912517640 | Tyler Allen Trumble | Physical Therapist | 503 S 18th St, Laramie, WY 82070-4303 | 2020-08-07 |
| 1497306948 | Snh Wy Tenant LLC | Skilled Nursing Facility | 503 S 18th St, Laramie, WY 82070-4303 | 2019-09-26 |
| 1033656590 | Corri Sandoval | Speech-Language Pathologist | 503 S 18th St, Laramie, WY 82070-4303 | 2017-01-23 |
| 1881143915 | Barbara Burns | Physical Therapy Assistant | 503 S 18th St, Laramie, WY 82070-4303 | 2016-09-30 |
| 1164977849 | Kelly Ann Demshar | Occupational Therapist | 503 S 18th St, Laramie, WY 82070 | 2016-08-23 |
| 1295188696 | Brandi Tanner | Occupational Therapy Assistant | 503 S 18th St, Laramie, WY 82070 | 2016-07-20 |
| 1063878718 | Kathleen L Wojtonik | Occupational Therapy Assistant | 503 S 18th St, Laramie, WY 82070-4303 | 2016-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
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| 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 |
|---|---|---|---|---|
| 1619923224 | Five Star Quality Care-wy LLC | Skilled Nursing Facility | 503 S 18th St, Laramie, WY 82070-4303 | 2006-05-25 |
| 1497306948 | Snh Wy Tenant LLC | Skilled Nursing Facility | 503 S 18th St, Laramie, WY 82070-4303 | 2019-09-26 |
| 1114306172 | Diversicare of Laramie, LLC | Skilled Nursing Facility | 503 S 18th St, Laramie, WY 82070-4303 | 2015-05-23 |
| 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 |
| 1700907029 | Ssc Casper Operating Company LLC | Skilled Nursing Facility | 4305 S Poplar St, Casper, WY 82601-6106 | 2007-04-03 |
| 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 |
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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.