Organization Active NPI

Optimus Services, LLC

  • Case Management Agency
  • Evanston, WY
National Provider Identifier
1063945806
Registry record updated Apr 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OPTIMUS SERVICES, LLC
Practice address
205 Washakie Dr
Evanston, WY 82930-4720
Phone
(307) 679-5618
Fax
(801) 753-0900
NPI assigned
Apr 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenna Hill
Title
Owner
Phone
(307) 679-5618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

205 Washakie Dr
Evanston, WY 82930-4720

Mailing address

205 Washakie Dr
Evanston, WY 82930-4720
Phone (307) 679-5618

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491609600000",
    "number": "1063945806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WASHAKIE DR",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829304720",
            "telephone_number": "307-679-5618",
            "fax_number": "801-753-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WASHAKIE DR",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829304720",
            "telephone_number": "307-679-5618",
            "fax_number": "801-753-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-08",
        "last_updated": "2017-04-08",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "KENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-679-5618"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.