Organization Active NPI

The Home Health Agency LLC

  • Home Health Agency
  • Lusk, WY
National Provider Identifier
1184748584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
07005 Issued in WY
Legal business name
THE HOME HEALTH AGENCY LLC
Practice address
201 W 3Rd Street
Lusk, WY 82225-0577
Phone
(307) 334-0177
Fax
(307) 334-0179
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Lynn Mellott, RNC
Title
Member Administrator
Phone
(307) 334-0177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 07005 WY Primary

Addresses

Primary practice location

201 W 3Rd Street
Lusk, WY 82225-0577

Mailing address

PO Box 577
Lusk, WY 82225-0577
Phone (307) 334-0177

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184748584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "LUSK",
            "state": "WY",
            "postal_code": "822250577",
            "telephone_number": "307-334-0177",
            "fax_number": "307-334-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 3RD STREET",
            "city": "LUSK",
            "state": "WY",
            "postal_code": "822250577",
            "telephone_number": "307-334-0177",
            "fax_number": "307-334-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELLOTT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER ADMINISTRATOR",
        "authorized_official_telephone_number": "307-334-0177",
        "authorized_official_credential": "RNC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WY",
            "license": "07005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lusk, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.