TETON COUNTY HOSPITAL DISTRICT (NPI# 1194744235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194744235 |
| Entity Type | Organization |
| Organization Name | TETON COUNTY HOSPITAL DISTRICT |
| Other Organization Name | ST JOHN'S HOME CARE |
| Practice Address |
555 E Broadway Ave Ste 115 Jackson WY 83001-8640 |
| Mailing Address |
Po Box 428 Jackson WY 83001-0428 |
| Practice Telephone | 3077397465 |
| Practice Fax Number | 3077397645 |
| Mailing Telephone | 3077397465 |
| Mailing Fax Number | 3077397645 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | JOHN J. KREN (CFO) |
| Authorized Official Telephone | 3077397526 |
| Is Organization Subpart | Y |
| Parent Organization Name | TETON COUNTY HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 15092 | WY | Agencies |
| Y | 251E00000X | Home Health | 15092 | WY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 106299908 | 05 | |
| WY | 106299902 | 05 |
| Other Name | Type Code |
|---|---|
| St John's Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952823783 | Teton County Hospital District | Pharmacy | 555 E Broadway Ave Ste 212, Jackson, WY 83001-8640 | 2017-07-13 |
| 1457665333 | Teton County Hospital District | General Practice | Box 428 625 E Broadway Ave, Jackson, WY 83001-8642 | 2010-08-03 |
| 1679859797 | Teton County Hospital District | General Practice | 852 Valley Centre Dr, Driggs, ID 83422-5005 | 2011-11-03 |
| 1821317595 | Teton County Hospital District | Emergency Medicine | 625 E Broadway Ave, Jackson Hole, WY 83001-8642 | 2010-05-20 |
| 1487818605 | Teton County Hospital District | General Practice | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2008-07-16 |
| 1881896694 | Teton County Hospital District | General Acute Care Hospital | 625 East Broadway, Jackson, WY 83001 | 2007-06-04 |
| 1801929997 | Teton County Hospital District | Medicare Defined Swing Bed Unit | 625 E Broadway, Jackson, WY 83001-0428 | 2007-03-14 |
| 1215064985 | Teton County Hospital District | Skilled Nursing Facility | 625 East Broadway, Jackson, WY 83001-8642 | 2007-02-28 |
| 1972657179 | Teton County Hospital District | Pharmacy | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2007-01-23 |
| 1568493989 | Teton County Hospital District | Hospice Care, Community Based | 555 E Broadway Ave, Suite #115, Jackson, WY 83001-8640 | 2006-07-05 |
| Street Address |
555 E BROADWAY AVE STE 115 |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336124890 | Angus G Goetz IIi | Orthopaedic Surgery | 555 E Broadway Ave, Jackson, WY 83001-8640 | 2005-12-07 |
| 1013403013 | Devyn K Parnes | Physician Assistant | 555 E Broadway Ave, Jackson, WY 83001-8640 | 2018-07-03 |
| 1447785829 | Nola Peacock | Physical Therapist | 555 E Broadway Ave, Suite 113, Jackson, WY 83001-8640 | 2017-04-24 |
| 1609323302 | Calvin P Schenk | Physician Assistant | 555 E Broadway Ave, Suite 201, Jackson, WY 83001-8640 | 2016-09-09 |
| 1194196667 | Sarah J Peterson | Dietitian, Registered | 555 E Broadway Ave, Ste 201, Jackson, WY 83001-8640 | 2015-10-09 |
| 1679994933 | Lindsay Katherine Love | Physical Therapist | 555 E Broadway Ave, Jackson, WY 83001-8640 | 2014-01-03 |
| 1588005193 | Cara Anne Sengebush | Physical Therapist | 555 E Broadway Ave, Jackson, WY 83001-8640 | 2013-07-11 |
| 1336588672 | Mountain Therapy Pllc | Counselor | 555 E Broadway Ave, Suite 216, Jackson, WY 83001-8640 | 2013-06-20 |
| 1376895169 | Patricia Drui | Speech-Language Pathologist | 555 E Broadway Ave, Suite 100, Jackson, WY 83001-8640 | 2012-10-04 |
| 1982955001 | Carol Bocker | Speech-Language Pathologist | 555 E Broadway Ave, Suite 100, Jackson, WY 83001-8640 | 2012-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029930 | Just Like Family Home Care LLC | Home Health | 910 E Northside Dr # 910e, Jackson, MS 39206-5533 | 2020-10-05 |
| 1235743162 | Shymeka Bolden | Home Health | 405 Dewitt Ave, Jackson, MS 39203 | 2020-09-08 |
| 1023647955 | Jennifer Mcneil | Home Health | 5814 Clinton Blvd # 2b, Jackson, MS 39209-2807 | 2020-04-02 |
| 1326670977 | Tyesha Smith | Home Health | 200 Rebel Woods Dr, Jackson, MS 39212-3009 | 2020-02-11 |
| 1780230185 | Avis Caring Hands Home Service | Home Health | 1419 Cooks Ave, Jackson, MS 39212-4376 | 2019-08-13 |
| 1063073500 | Dorothy Jean Homes | Home Health | 1836 First Ave, Jackson, MS 39209-6345 | 2019-06-25 |
| 1750941027 | Rock Care Home Health, LLC | Home Health | 3130 E Jackson Blvd Ste B, Jackson, MO 63755-2957 | 2019-06-18 |
| 1417415548 | Serenity Home Health Care | Home Health | 283 Parks Rd, Jackson, MS 39212-9604 | 2019-03-07 |
| 1841762192 | All About You Care LLC | Home Health | 716 Tomlinson St, Jackson, MI 49203-2060 | 2018-12-27 |
| 1013489483 | Sarah Gillum | Home Health | 1127 Greenbriar St, Jackson, MS 39211-2735 | 2018-12-26 |
| Find all providers in JACKSON | ||||
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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.