Organization Active NPI

Homestead Care Services LLC.

  • In Home Supportive Care Agency
  • Green River, WY
National Provider Identifier
1164377925
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOMESTEAD CARE SERVICES LLC.
Practice address
1240 Elk Mountain Cir
Green River, WY 82935-5512
Phone
(970) 620-2390
NPI assigned
Feb 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Teah Jo Dodge
Title
Owner/ Administrator
Phone
(970) 620-2390

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Non-emergency Medical Transport (VAN) 343900000X
Respite Care 385H00000X

Addresses

Primary practice location

1240 Elk Mountain Cir
Green River, WY 82935-5512

Mailing address

1240 Elk Mountain Cir
Green River, WY 82935-5512
Phone (970) 620-2390

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1164377925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 ELK MOUNTAIN CIR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355512",
            "telephone_number": "970-620-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 ELK MOUNTAIN CIR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355512",
            "telephone_number": "970-620-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD CARE SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "TEAH JO",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "970-620-2390"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green River, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.