Organization Active NPI

I-Reach 2 Inc

  • Developmentally Disabled Services Day Training Agency
  • Casper, WY
National Provider Identifier
1366656522
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
I-REACH 2 INC
Practice address
351 N Lennox St
Casper, WY 82601-2259
Phone
(307) 265-8086
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Mrs. Tina M Conley, M.A.
Title
Executive Director
Phone
(307) 265-8086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

351 N Lennox St
Casper, WY 82601-2259

Mailing address

PO Box 1060
Evansville, WY 82636-1060
Phone (307) 265-8086

Other identifiers 1

IdentifierTypeStateIssuer
117300600MedicaidWY

National Provider Directory

National Provider Directory

Locations

351 N Lennox St
Casper, WY 82601
Phone (307) 265-8086

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1366656522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "EVANSVILLE",
            "state": "WY",
            "postal_code": "826361060",
            "telephone_number": "307-265-8086",
            "fax_number": "307-473-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N LENNOX ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012259",
            "telephone_number": "307-265-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-REACH 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-265-8086",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117300600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.