MISS JENNIE R DEMARCE (NPI# 1639474158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639474158 |
| Entity Type | Individual |
| Full Name | MISS JENNIE R DEMARCE |
| Practice Address |
123 Colorado Ave Casper WY 82609-1703 |
| Mailing Address |
Po Box 2094 Mills WY 82644-2094 |
| Practice Telephone | 3074725090 |
| Mailing Telephone | 3074725090 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 104647342 | WY | Agencies |
| Street Address |
123 COLORADO AVE |
| City | CASPER |
| State | WY |
| Zip Code | 82609-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| 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 |
|---|---|---|---|---|
| 1689224305 | Care Partners of Wyoming | Day Training, Developmentally Disabled Services | 142 N Melrose St, Casper, WY 82601-2735 | 2019-09-14 |
| 1316488653 | Julie Elvestad | Day Training, Developmentally Disabled Services | 4070 Plaza Dr Ste 106, Casper, WY 82604-4296 | 2017-03-20 |
| 1003220096 | Brain Injury Alliance of Wyoming | Day Training, Developmentally Disabled Services | 111 W 2nd St Ste 106, Casper, WY 82601-2458 | 2014-06-17 |
| 1558641019 | Lois Lavaughn Bowman | Day Training, Developmentally Disabled Services | 1524 Sheridan Dr, Casper, WY 82604-3106 | 2011-08-27 |
| 1558663773 | Scott Honken | Day Training, Developmentally Disabled Services | 4900 Yesness Ct, Casper, WY 82604-5206 | 2010-11-19 |
| 1598081960 | Kimberly Rose Glynn | Day Training, Developmentally Disabled Services | 11750 W Zero Rd, Casper, WY 82604-9540 | 2010-04-10 |
| 1669706412 | Jennifer Leigh Ryerson-heaton | Day Training, Developmentally Disabled Services | 3415 Monte Vista Dr., Casper, WY 82601 | 2009-09-28 |
| 1952634727 | Family of God Church | Day Training, Developmentally Disabled Services | 4300 S Poplar St, Casper, WY 82601-6107 | 2009-09-11 |
| 1952531279 | Rick Jude Lamotte | Day Training, Developmentally Disabled Services | 1820 Mariposa Blvd, Casper, WY 82604-4829 | 2009-07-21 |
| 1821292558 | The Center for Abilities | Day Training, Developmentally Disabled Services | 107 Sherwood Cir, Casper, WY 82609-3532 | 2007-06-14 |
| Find all providers in CASPER | ||||
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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.