SSC CASPER OPERATING COMPANY LLC (NPI# 1700907029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700907029 |
| Entity Type | Organization |
| Organization Name | SSC CASPER OPERATING COMPANY LLC |
| Other Organization Name | POPLAR LIVING CENTER |
| Practice Address |
4305 S Poplar St Casper WY 82601-6106 |
| Mailing Address |
5300 W Sam Houston Pkwy N Suite 100 Houston TX 77041-5161 |
| Practice Telephone | 3072372561 |
| Mailing Telephone | 8324676000 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2013-08-01 |
| Authorized Official Name | THOMAS P. SIMONS (SENIOR VP OPERATIONS FINANCE) |
| Authorized Official Telephone | 7708295100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 07187 | WY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | PREVIOUS MEDICAID NUMBER | 0107451200WY | 01 |
| WY | 120859400 | 05 |
| Other Name | Type Code |
|---|---|
| Poplar Living Center | Doing Business As Name - Organization |
| Street Address |
4305 S POPLAR ST |
| City | CASPER |
| State | WY |
| Zip Code | 82601-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124686639 | Jessica Montgomery | Occupational Therapist | 4305 S Poplar St, Casper, WY 82601-6106 | 2019-05-30 |
| 1891353306 | Rachael B.e. Mcdaniels | Occupational Therapy Assistant | 4305 S Poplar St, Casper, WY 82601-6106 | 2019-05-30 |
| 1093373516 | Rebecca Johnson | Speech-Language Pathologist | 4305 S Poplar St, Casper, WY 82601-6106 | 2019-05-30 |
| 1326603986 | Kristen Marie Eastwood | Occupational Therapist | 4305 S Poplar St, Casper, WY 82601-6199 | 2019-05-08 |
| 1750840468 | Casper Opco LLC | Skilled Nursing Facility | 4305 S Poplar St, Casper, WY 82601-6106 | 2019-03-13 |
| 1588096002 | Sarah L Mischke | Physical Therapy Assistant | 4305 S Poplar St, Casper, WY 82601-6106 | 2013-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| 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 |
|---|---|---|---|---|
| 1467540070 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 4041 S Poplar St, Casper, WY 82601-5928 | 2006-10-10 |
| 1588697742 | Casper Healthcare LLC | Skilled Nursing Facility | 60 Magnolia, Casper, WY 82604-3801 | 2006-07-09 |
| 1750840468 | Casper Opco LLC | Skilled Nursing Facility | 4305 S Poplar St, Casper, WY 82601-6106 | 2019-03-13 |
| 1306318274 | Empres At Casper, LLC | Skilled Nursing Facility | 60 Magnolia St, Casper, WY 82604-4035 | 2018-12-17 |
| 1417498783 | Casper Operations, LLC | Skilled Nursing Facility | 4041 S Poplar St, Casper, WY 82601-5928 | 2017-03-20 |
| 1356433957 | Wyoming Medical Center Inc | Skilled Nursing Facility | 1233 E 2nd Street, Casper, WY 82601 | 2006-09-29 |
| 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 |
| 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 |
| 1104984376 | Thermopolis Health Care, Inc | Skilled Nursing Facility | 1210 Canyon Hills Rd, Thermopolis, WY 82443-3137 | 2006-12-04 |
| 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.