Frontier Wyoming, L.L.C.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0713103 Issued in WY

Legal business name

FRONTIER WYOMING, L.L.C.

Doing business as

Frontier Home Health and Hospice

Practice address

907 N Poplar St
Suite 277
Casper, WY 82601-1320

Phone

(307) 234-6684

Fax

(203) 234-6066

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Martha M Bogucki

Title

Cfo

Phone

(203) 693-3840

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Frontier Home Health and Hospice Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Eh Hospice of the West, LLC

  dba Enhabit Hospice

  • Community Based Hospice Care Agency
  • Casper, WY
  • NPI 1578154159

  Sold to, 2021-06-01

  CMS change of ownership

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1083807036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 RIVER ST",
            "address_2": "YANKEE PROFESSIONAL BUILDING",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603346",
            "telephone_number": "203-693-3840",
            "fax_number": "203-693-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N POPLAR ST",
            "address_2": "SUITE 277",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011320",
            "telephone_number": "307-234-6684",
            "fax_number": "203-234-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER WYOMING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "BOGUCKI",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "203-693-3840"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WY",
            "license": "0713103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083807036",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Lee Fredrickson, PCSW
• Shannon Freeburn, M.S. CCC-SLP
• Charlotte Ann Frizzell, PROVISIONAL CLINICAL
• Frontier Behavioral Health, LLC
• Frontier Eye Care LLC
• Frontier Wyoming, L.L.C. (Frontier Home Health and Hospice)
• Jennifer Kristine Frontiero, PT, DPT
• Fuchs Nutrition Consulting LLC
• Kathy L. Fuchs, DIETITIAN
• Abbey Faith Fuhrer, LCSW

• Community Based Hospice Care Agency in Casper, WY
• Providers in Casper, WY by specialty
• Community Based Hospice Care Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.