Active NPI
Premium Health at Home Rawlins LLC
- Home Health Agency
- Rawlins, WY
National Provider Identifier
1275830325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PREMIUM HEALTH AT HOME RAWLINS LLC
- Practice address
- 405 W Cedar St
Rawlins, WY 82301-5636 - Phone
- (307) 328-5999
- Fax
- (307) 324-9358
- NPI assigned
- Feb 24, 2011
- Last updated
- May 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Ann Smith
- Title
- Vice President
- Phone
- (307) 742-8710
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | WY | ||
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
405 W Cedar St
Rawlins, WY 82301-5636
Mailing address
405 W Cedar St Ste B
Rawlins, WY 82301-5636
Phone (307) 328-5999
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Premium Health at Home Rawlins LLC
- Ownership
- Proprietary
- Certified
- Sep 13, 2011
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
405 W Cedar St
Rawlins, WY 82301
Phone (307) 328-5999
405 W Cedar St
Ste B
Rawlins, WY 82301
Phone (307) 328-5999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683504000000",
"number": "1275830325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W CEDAR ST STE B",
"city": "RAWLINS",
"state": "WY",
"postal_code": "823015636",
"telephone_number": "307-328-5999",
"fax_number": "307-324-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W CEDAR ST",
"city": "RAWLINS",
"state": "WY",
"postal_code": "823015636",
"telephone_number": "307-328-5999",
"fax_number": "307-324-9358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM HEALTH AT HOME RAWLINS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-24",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "307-742-8710"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "WY",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rawlins, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.