HEART MOUNTAIN HOME CARE LLC NPI 1609580596

NPI Information

NPI: 1609580596
Provider Name: HEART MOUNTAIN HOME CARE LLC
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
333 S JONES #4
POWELL, WY
ZIP 82435
Phone: (307) 219-8509
Get Directions

HEART MOUNTAIN HOME CARE LLC is an assisted living and mental illness assisted living facility in Powell, WY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. HEART MOUNTAIN HOME CARE LLC NPI is 1609580596. The provider is registered as an organization entity type.

The provider's business location address is:

333 S JONES #4
POWELL, WY
ZIP 82435-103
Phone: (307) 219-8509

The provider's authorized official is Shay Bales .
The authorized official title is Owner and has the following contact phone number (307) 219-8509.

The enumeration date for this NPI number is 1/6/2023 and was last updated on 1/6/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	251J00000X	Nursing Care		No
3	261QA0600X	Clinic/Center	Adult Day Care	No
4	261QM0850X	Clinic/Center	Adult Mental Health	No
5	310500000X	Intermediate Care Facility, Mental Illness		No
6	311ZA0620X	Custodial Care Facility	Adult Care Home	No
7	314000000X	Skilled Nursing Facility		No
8	343900000X	Non-emergency Medical Transport (VAN)		No
9	385H00000X	Respite Care		No
10	385HR2050X	Respite Care	Respite Care Camp	No
11	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	No
12	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
13	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
14	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	92151784	MEDICAID	WYOMING

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »