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HOSPICE OF LARAMIE NPI 1407835960


NPI Information

NPI: 1407835960
Provider Name: HOSPICE OF LARAMIE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 53D1037116

Address:
1754 CENTENNIAL DR
LARAMIE, WY
ZIP 82070
Phone: (307) 745-9254
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HOSPICE OF LARAMIE is a hospice care community based in Laramie, WY. HOSPICE OF LARAMIE NPI is 1407835960. The provider is registered as an organization entity type.

The provider's business location address is:

1754 CENTENNIAL DR
LARAMIE, WY
ZIP 82070-417
Phone: (307) 745-9254
Fax: (307) 742-5967

The provider's authorized official is Terri Longhurst .
The authorized official title is Executive Director and has the following contact phone number (307) 745-9254.

The CLIA number assigned to this NPI record is 53D1037116 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 9/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthNo
2251G00000XHospice Care, Community BasedNo
3251G00000XHospice Care, Community Based0713111WYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1111731900MEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.