B.a.C.a. Case Managment LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

B.A.C.A. CASE MANAGMENT LLC

Practice address

6500 Longabaugh Way
Cheyenne, WY 82009-9699

Phone

(307) 757-5868

Fax

(866) 544-1882

NPI assigned

May 12, 2020

Organization subpart

No

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

Authorized official

Name

Desiree Baca, BSW

Title

Owner

Phone

(307) 757-5868

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

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

• Brandy Sargent

  • Case Manager/Care Coordinator
  • Cheyenne, WY
  • NPI 1023765898
  NPD

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1235751389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 LONGABAUGH WAY",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820099699",
            "telephone_number": "307-757-5868",
            "fax_number": "866-544-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 LONGABAUGH WAY",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820099699",
            "telephone_number": "307-757-5868",
            "fax_number": "866-544-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.A.C.A. CASE MANAGMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "BACA",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-757-5868",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023499027",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141785100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine A Axe, PPC
• Justin Axness
• Ashley L. Aylward Badgley, PA-C
• Alissa Brooke Aylward
• Amanda Ayotte
• Amanda Babbert, DPT
• Brent Babcock, RN
• Kim M Babjak, RRT
• Babson & Associates Primary Care, PC
• John Hurst Babson, PH.D., MD

• Case Management Agency in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Case Management Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.