Wyoming Assisted Living LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WYOMING ASSISTED LIVING LLC

Practice address

108 Abby LN
Sundance, WY 82729-5056

Phone

(307) 283-1042

NPI assigned

Mar 29, 2023

Organization subpart

No

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

Authorized official

Name

Trisha Timberman

Title

Managing Member

Phone

(307) 756-2972

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1285338673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 944",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827290944",
            "telephone_number": "307-283-1042",
            "fax_number": "307-283-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ABBY LN",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827295056",
            "telephone_number": "307-283-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "TIMBERMAN",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "307-756-2972"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Waddell, MS, RD, LD
• Cheryl Ann Wales, M.ED., LPC
• Samantha Leigh White, MCN, RDN
• Katherine Suzanne Wilkins, PT, DPT
• Brianne Wooldridge, LPC-1589

• Case Management Agency in Sundance, WY
• Providers in Sundance, 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 Mar 29, 2023; 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.