CHEYENNE ASSISTED LIVING & SUPPORT (NPI# 1538370895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538370895 |
| Entity Type | Organization |
| Organization Name | CHEYENNE ASSISTED LIVING & SUPPORT |
| Practice Address |
807 Mitchell Ct Cheyenne WY 82007-2814 |
| Practice Telephone | 3072569323 |
| Mailing Telephone | 3072569323 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TIMOTHY D ADAMS (OWNER) |
| Authorized Official Telephone | 3072569323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| Street Address |
807 MITCHELL CT |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82007-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548788102 | Melanie Ann Traas | Speech-Language Pathologist | 236 Parsley Blvd, Cheyenne, WY 82007 | 2017-09-05 |
| 1083135701 | Courtney Jo Tatum | Case Manager/Care Coordinator | 209 Stanfield Ave, Cheyenne, WY 82007 | 2017-07-03 |
| 1679838056 | Ryan Wayne Ackerman | Counselor | 117 West 9th Street, Cheyenne, WY 82007 | 2012-07-11 |
| 1992932420 | Libby Jane Phillips | Pharmacist | 700 S. Greeley Hwy, Cheyenne, WY 82007 | 2009-06-11 |
| 1043382336 | Dale C Brentlinger | Internal Medicine | 2508 E Fox Farm Road, #1a, Cheyenne, WY 82007 | 2006-11-14 |
| 1841273901 | Ryan C Benne | Chiropractor | 2809 Evans Ave, Cheyenne, WY 82007 | 2005-11-22 |
| 1386632594 | Cheyenne Health & Wellness Center | Clinic/Center | 2508 East Fox Farm Road, Suite 1a, Cheyenne, WY 82007 | 2005-10-11 |
| 1255718953 | Wal-mart Srores Inc | Technician/Technologist | 580 Livingston Ave, Cheyenne, WY 82007 | 2015-05-01 |
| 1811030554 | Stride Learning Center | Clinic/Center | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2007-02-14 |
| 1568006443 | Audrey Marie Saling | Occupational Therapist | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2019-11-04 |
| Find all providers in zip 82007 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830823 | Toni Rae Vavra-wilder | Respite Care | 2407 E 16th St, Cheyenne, WY 82001-5307 | 2020-01-20 |
| 1669601217 | Jy Adekale Global Initiative | Respite Care | 4913 Ridge Rd, Cheyenne, WY 82009-5309 | 2009-07-03 |
| 1437616471 | Advantage Community Supports LLC | Respite Care | 701 W Dale Blvd, Cheyenne, WY 82009-5930 | 2019-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013454438 | Shelby Elliott | Respite Care | 1634 Jim Bridger Ave, Casper, WY 82604-3121 | 2017-01-23 |
| 1225406754 | Patricia Masters | Respite Care | 6678 Bailey Place, Casper, WY 82604 | 2015-09-15 |
| 1356632087 | Candice Rae Gronberg | Respite Care | 4 Roberts Road, Lander, WY 82520-1401 | 2011-04-28 |
| 1316181167 | Danielle Marie Naughton | Respite Care | 1931 S Washington St, Casper, WY 82601-4855 | 2009-04-23 |
| 1184893026 | Hope Unlimited,inc | Respite Care | 133 Shady Ln, Evanston, WY 82930-4761 | 2008-02-25 |
| 1689866790 | Mark Alan Courtney | Respite Care | 2508 Central Ave, Cody, WY 82414-9797 | 2007-08-13 |
| 1730380106 | Heather Louise Haskell | Respite Care | 261 Shipwheel Rd, Moorcroft, WY 82721 | 2007-05-31 |
| 1750429262 | Kathleen L. Otte | Respite Care | 382 N Lincoln St, Laramie, WY 82070-6100 | 2007-02-05 |
| 1427147313 | Cheryl Ann Shoults | Respite Care | 152 Ridge Road, Torrington, WY 82240 | 2006-10-11 |
| 1194917203 | Lisa Michelle Courtney | Respite Care | 2508 Central Ave, Cody, WY 82414-9797 | 2007-08-13 |
| 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.