Davis Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DAVIS HOSPICE, LLC

Practice address

902 E 3Rd St
Gillette, WY 82716-4023

Phone

(307) 756-9200

Fax

(888) 715-6736

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Lacy L Davis, RN

Title

RN Administrator

Phone

(307) 756-9200

Specialties & licenses 2

Addresses

Other names 1

• Healing Hearts Hospice Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1134848625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E 3RD ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164023",
            "telephone_number": "307-756-9200",
            "fax_number": "888-715-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E 3RD ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164023",
            "telephone_number": "307-756-9200",
            "fax_number": "888-715-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RN ADMINISTRATOR",
        "authorized_official_telephone_number": "307-756-9200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lacy@healingheartshomehealth.org",
            "affiliation": "Y",
            "affiliationName": "Davis Home Health LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "902 E 3rd St",
            "city": "Gillette",
            "state": "WY",
            "country_code": "US",
            "postal_code": "827164023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healing Hearts Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi Lynn David, AA
• Daniel Davidovich Young, M.D.
• Davis ENT Specialists, PC
• Davis ENT Specialists, PC
• Davis Home Health LLC
• Davis Outpatient Therapy LLC
• Bethany Davis
• Cameron Wayne Davis, DO
• Thomas Clifford Davis, M.D.
• Nancy Day, LPC NCSC

• Community Based Hospice Care Agency in Gillette, WY
• Providers in Gillette, 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 Aug 26, 2022; 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.