Herbert Ray Haley

Individual provider Active NPI Developmentally Disabled Services Day Training Agency · Douglas, WY

NPI 1093669020 · NPPES record last updated Feb 25, 2026

Key facts

NPI
1093669020
Entity type
Individual (NPI type 1)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Practice address
1382 Riverbend Dr
Douglas, WY 82633-2042
Phone
(605) 215-7054
NPI assigned
Feb 25, 2026
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Connections, LLC Past
since Jan 26, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X WY Yes

Addresses

Primary practice location

1382 Riverbend Dr
Douglas, WY 82633-2042

Mailing address

1382 Riverbend Dr
Douglas, WY 82633-2042
Phone (605) 215-7054

Other providers in Douglas, WY

All providers in Douglas, WY · Developmentally Disabled Services Day Training Agency in Wyoming

Sources for this page

Verify at the official NPI Registry.