SOUTHWEST WYOMING REHABILITATION CENTER (NPI# 1023139938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023139938 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST WYOMING REHABILITATION CENTER |
| Practice Address |
4509 Foothill Blvd Rock Springs WY 82901-4367 |
| Practice Telephone | 3073823842 |
| Practice Fax Number | 3073624615 |
| Mailing Telephone | 3073823842 |
| Mailing Fax Number | 3073624615 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JENNIFER LEE PFAU (ACCOUNTING AND HR COORDINATOR) |
| Authorized Official Telephone | 3073823842 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | WY | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801125430 | Southwest Wyoming Rehabilitation Center | Case Management | 4509 Foothill Blvd, Rock Springs, WY 82901-4367 | 2009-12-10 |
| 1558699835 | Southwest Wyoming Rehabilitation Center | Day Training, Developmentally Disabled Services | 4509 Foothill Blvd, Rock Springs, WY 82901-4367 | 2009-11-25 |
| Street Address |
4509 FOOTHILL BLVD |
| City | ROCK SPRINGS |
| State | WY |
| Zip Code | 82901-4367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669981544 | Nancy Parker | Speech-Language Pathologist | 4509 Foothill Blvd, Rock Springs, WY 82901-4367 | 2017-09-24 |
| 1497115471 | Andrea Schuck | Social Worker | 4509 Foothill Blvd, Rock Springs, WY 82901-4367 | 2016-03-03 |
| 1801125430 | Southwest Wyoming Rehabilitation Center | Case Management | 4509 Foothill Blvd, Rock Springs, WY 82901-4367 | 2009-12-10 |
| 1558699835 | Southwest Wyoming Rehabilitation Center | Day Training, Developmentally Disabled Services | 4509 Foothill Blvd, Rock Springs, WY 82901-4367 | 2009-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094043 | Carol Mary Iverson | Naturopath | 120 Winston Dr., Ste. 101, Rock Springs, WY 82901 | 2020-02-12 |
| 1366098691 | Nolan Jeffres | Dentist | 1151 Gateway Blvd, Suite 102, Rock Springs, WY 82901 | 2019-08-13 |
| 1588149181 | Ali Pendleton | Case Manager/Care Coordinator | 79 Winston #235, Rock Springs, WY 82901 | 2018-09-28 |
| 1982142014 | Tammy Fausett | Speech-Language Pathologist | 1105 Applewood Drive, Rock Springs, WY 82901 | 2017-02-09 |
| 1649713983 | Lori Lee Cunningham | Case Manager/Care Coordinator | 325 Archers Trl, Rock Springs, WY 82901 | 2016-11-18 |
| 1841664505 | Theresa Morrison | Case Manager/Care Coordinator | 308 Peak Road, Rock Springs, WY 82901 | 2015-11-18 |
| 1811376478 | Aspen Mountain Medical Center LLC | General Acute Care Hospital | 4401 College Ave, Rock Springs, WY 82901 | 2015-05-28 |
| 1487931416 | Stephanie Lee Dupree | Nurse Practitioner | 1204 Hilltop Dr. #107 & #108, Rock Springs, WY 82901 | 2011-11-04 |
| 1114201845 | Cowboy Urgent Care, Inc | General Practice | 1453-a Dewar Drive, Rock Springs, WY 82901 | 2011-09-29 |
| 1649564931 | Guardian Flight Inc | Ambulance | 1208 Hilltop Drive, Suite 203, Rock Springs, WY 82901 | 2011-06-03 |
| Find all providers in zip 82901 | ||||
| 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 |
|---|---|---|---|---|
| 1194356782 | Rebekah Vondenkamp | Day Training, Developmentally Disabled Services | 832 Walnut St, Rock Springs, WY 82901-7104 | 2020-01-31 |
| 1306209028 | Kyla Maestas | Day Training, Developmentally Disabled Services | 2011 Johnson Ave, Rock Springs, WY 82901-4454 | 2016-03-30 |
| 1205000536 | Cinda Sue Levitt | Day Training, Developmentally Disabled Services | 9 Spotted Tail Cir, Rock Springs, WY 82901-9806 | 2008-04-17 |
| 1225232507 | Kristy Hodder | Day Training, Developmentally Disabled Services | 5020 Springs Dr, Apartment 62, Rock Springs, WY 82901-4015 | 2007-06-12 |
| 1245352632 | Kristy Elaine Meeks | Day Training, Developmentally Disabled Services | 126 Elk St, Rock Springs, WY 82901 | 2007-04-04 |
| 1356463749 | Life Skills for Wyoming, L.L.C. | Day Training, Developmentally Disabled Services | 1551 Frontier Dr, Rock Springs, WY 82901-7403 | 2007-04-04 |
| 1801918297 | Lsw, LLC | Day Training, Developmentally Disabled Services | 1695 Sunset Dr #114, Rock Springs, WY 82901 | 2007-04-04 |
| 1043332430 | Life Skills Rehabilitation Center, L.L.C. | Day Training, Developmentally Disabled Services | 3405 White Mountain Blvd, Rock Springs, WY 82901-4729 | 2007-04-04 |
| 1376699686 | Helping Boundaries Widen, LLC | Day Training, Developmentally Disabled Services | 3421 Monterey Dr, Rock Springs, WY 82901-5642 | 2007-01-27 |
| 1922077858 | Sweetwater County Community Nursing Service | Day Training, Developmentally Disabled Services | 731 C St, Suite 315, Rock Springs, WY 82901-6202 | 2006-03-14 |
| Find all providers in ROCK SPRINGS | ||||
| City | ROCK SPRINGS |
| Zip Code | 82901 |
Please comment or provide details below to improve the information on SOUTHWEST WYOMING REHABILITATION CENTER.
| 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.