NPIMap

Organization Active NPI

State of Wyoming

Doing business as Mountain View Skilled Nursing Community at Wyoming Life Resource Cente

  • Skilled Nursing Facility
  • Lander, WY
National Provider Identifier
1093337990
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STATE OF WYOMING
Doing business as
Mountain View Skilled Nursing Community at Wyoming Life Resource Cente
Practice address
8204 Highway 789
Lander, WY 82520
Phone
(307) 335-6700
NPI assigned
May 13, 2020
Organization subpart
Yes
Parent organization
STATE OF WYOMINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Rachel Jones
Title
Accounting Manager
Phone
(307) 335-6756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8204 Highway 789
Lander, WY 82520

Mailing address

8204 Highway 789
Lander, WY 82520
Phone (307) 335-6700

Other identifiers 1

IdentifierTypeStateIssuer
222959500MedicaidWY

Other names 1

  • Mountain View Skilled Nursing Community at Wyoming Life Resource Cente Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211230000486 WY Part A Provider - Skilled Nursing Facility 4587552583 Practice locations: Lander, WY

Skilled nursing facility certification: CCN 535058

Legal name
STATE OF WYOMING
Doing business as
MOUNTAIN VIEW SKILLED NURSING COMMUNITY AT WYOMING LIFE RESOURCE CENTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 27, 2022
Last certification
Jan 24, 2025
Beds
40
Ownership / control type
State
Organization structure
GovernmentNon-profit
Incorporated
in WY
Enrollment address
8204 Highway 789
Lander, WY 82520-2941
Nursing home name
MOUNTAIN VIEW SKILLED NURSING COMMUNITY AT WLRC

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mountain View Skilled Nursing Community at WLRCCCN 535058 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Nov 27, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4018.4 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $50,980

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2304549Mountain View Skilled Nursing Community8204 Highway 789, Lander, WY 82520Certificate of waiverMay 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Division of Health Care11 organizations share this tax ID, including this one
Part of
Division of Health Care

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8204 Wyoming Highway 789
Lander, WY 82520
Phone (307) 335-6700

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kelly Lynn Vasquez Individual Operational/Managerial Control Jan 27, 2025
Adp of the SNF Jan 27, 2025
Ragen Lathem Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
State of Wyoming Organization, Lander, WY 5% Or Greater Direct Ownership Interest Nov 27, 2022 100%
Operational/Managerial Control Nov 27, 2022
Adp of the SNF Nov 27, 2022
Rachel Jones Individual Operational/Managerial Control Nov 27, 2022
Adp of the SNF Nov 27, 2022
Individual Adp of the SNF Jun 16, 2022

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • State of Wyoming

    dba Wyoming State Hospital

    • Psychiatric Hospital
    • Evanston, WY
    • NPI 1316011562

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • State of Wyoming
    • Skilled Nursing Facility
    • Buffalo, WY
    • NPI 1386396935

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • State of Wyoming

    dba Wyoming Retirement Center

    • Skilled Nursing Facility
    • Basin, WY
    • NPI 1659328821

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wyoming State HospitalEvanston, WY, CCN 534001 Hospital Other Jan 1, 1990
Wyoming Retirement CenterBasin, WY, CCN 535021 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 May 23, 1985
May 23, 1984
State of WyomingBuffalo, WY, CCN 535061 Skilled nursing facility 5% Or Greater Security Interest
Operational/Managerial Control		 Jan 14, 2025
Jan 14, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1093337990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "82520",
            "telephone_number": "307-335-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "82520",
            "telephone_number": "307-335-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF WYOMING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF WYOMING",
        "enumeration_date": "2020-05-13",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "307-335-6756"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222959500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Skilled Nursing Community at Wyoming Life Resource Cente",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lander, WY

Sources for this page

Verify at the official NPI Registry.