Shay Bales
Individual provider Active NPI Nursing Care Agency · Powell, WY
NPI 1003529942 · NPPES record last updated Jan 5, 2023
Key facts
- NPI
- 1003529942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nursing Care Agency 251J00000X
- Practice address
- 333 S Jones St Lot 4
Powell, WY 82435-3103 - Phone
- (307) 219-8509
- NPI assigned
- Jan 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Mountain Care LLC | Developmental Disabilities | Current |
Accepting new patients |
| Heart Mountain Home Care LLC | Nursing Care | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | WY | ||
| Developmental Disabilities Clinic/Center | 261QD1600X | WY | ||
| Adult Mental Health Clinic/Center | 261QM0850X | WY | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | WY | ||
| Assisted Living Facility (Mental Illness) | 3104A0625X | WY | ||
| Adult Companion | 372600000X | WY | ||
| Child Mental Illness Respite Care | 385HR2055X | WY | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | WY | ||
| Child Physical Disabilities Respite Care | 385HR2065X | WY | ||
| Nursing Care Agency | 251J00000X | WY | Yes |
Addresses
Primary practice location
333 S Jones St Lot 4
Powell, WY 82435-3103
Mailing address
333 S Jones St Lot 4
Powell, WY 82435-3103
Phone (307) 219-8509
Other providers in Powell, WY
- Alpine Medical
- Thomas Glen Asay
- John E Asher
- Andrew B Baker
- Heather Bales
- Banner Health Physicians West LLC
- Noah Phinneaus Alexander Barlow
- Matthew Ty Barrus
- Dean Wayne Bartholomew
- Kara Baus
All providers in Powell, WY · Nursing Care Agency in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.