Hospice of Laramie

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0713111 Issued in WY

Legal business name

HOSPICE OF LARAMIE

Practice address

1754 Centennial Dr
Laramie, WY 82070-8417

Phone

(307) 745-9254

Fax

(307) 742-5967

NPI assigned

Jan 12, 2006

Organization subpart

No

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

Authorized official

Name

Terri Longhurst, PHD

Title

Executive Director

Phone

(307) 745-9254

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Hospice certification: CCN 531509

Legal name

HOSPICE OF LARAMIE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 7, 1996

Last certification

Jul 7, 2022

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Apr 30, 1983 in WY

Enrollment address

1754 Centennial Dr
Laramie, WY 82070-8417

Listed as

Hospice of LaramieCCN 531509 · All quality measures

Ownership

Non-Profit

Certified

Mar 7, 1996

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• William Michael Comly, MD

  • Internal Medicine Physician
  • Laramie, WY
  • NPI 1013019793

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Emma Marie Bjore, M.D.

  • Family Medicine Physician
  • Laramie, WY
  • NPI 1922441328

  Hospice

  Care Compare affiliation
• Robyn Dawn Curtis-Rice, APRN, FNP-C

  • Family Nurse Practitioner
  • Laramie, WY
  • NPI 1679823280

  Hospice

  Care Compare affiliation
• Darren Lamar Mikesell, D.O

  • Family Medicine Physician
  • Laramie, WY
  • NPI 1275733180

  Hospice

  Care Compare affiliation
• Amy Diane Smith, NP

  • Primary Care Nurse Practitioner
  • Laramie, WY
  • NPI 1841060852

  Hospice

  Care Compare affiliation
• Keith A Thompson, MD

  • Medical Oncology Physician
  • Lander, WY
  • NPI 1841246022

  Hospice

  Care Compare affiliation
• Tyler Gallo, DO

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1831684463

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1407835960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 CENTENNIAL DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820708417",
            "telephone_number": "307-745-9254",
            "fax_number": "307-742-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 CENTENNIAL DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820708417",
            "telephone_number": "307-745-9254",
            "fax_number": "307-742-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF LARAMIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "LONGHURST",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-745-9254",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WY",
            "license": "0713111",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111731900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Horberg, M.D
• Meckenzie Horberg
• Holly Horpestad, FNP-C
• Nathaniel Orion Horve
• Danielle Horwitz
• Jenna Lee Hotovec, MS, PPC
• Mary Catherine Houser
• Howard Medical Clinic Inc
• Larissa Howard
• Angela Imperial Howdeshell, MD

• Community Based Hospice Care Agency in Laramie, WY
• Providers in Laramie, WY by specialty
• Community Based Hospice Care Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.