Tender Heart Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

15018 Issued in WY

Legal business name

TENDER HEART ASSISTED LIVING

Practice address

624 Twin Ridge Ave
Evanston, WY 82930-5108

Phone

(307) 444-8969

Fax

(307) 789-8907

NPI assigned

Oct 29, 2015

Last updated

Oct 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheri Lyn Willard, RNNPI 1922277862

Title

Owner

Phone

(307) 444-8969

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheri Lyn Willard, RN

  • Registered Nurse
  • Evanston, WY
  • NPI 1922277862
  Authorized official Same address or phone

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1497127476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 TWIN RIDGE AVE",
            "address_2": "PO BOX 2130",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305108",
            "telephone_number": "307-444-8969",
            "fax_number": "307-789-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 TWIN RIDGE AVE",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305108",
            "telephone_number": "307-444-8969",
            "fax_number": "307-789-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER HEART ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "WILLARD",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-444-8969",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WY",
            "license": "15018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123782900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Faye Taylor, PHARMD
• Linford Taylor
• Michael Taylor
• Tina Taylor
• Jeremy R Taysom, CRNA
• Tender Heart Home Care Hospice
• Amy Tennant
• The Intuitive Parents Physical Therapy LLC
• Louise Ann Thomas
• Sarah Marie Thompson, LPC

• Assisted Living Facility in Evanston, WY
• Providers in Evanston, WY by specialty
• Assisted Living Facility in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.