NPIMap

Organization Active NPI

Memorial Hospital of Laramie County

Doing business as Cheyenne Regional Medical Center Home Care Services

  • Home Health Agency
  • Cheyenne, WY
National Provider Identifier
1568426435
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
07-218 Issued in WY
Legal business name
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Doing business as
Cheyenne Regional Medical Center Home Care Services
Practice address
2600 E 18TH St
Cheyenne, WY 82001-5511
Phone
(307) 633-7000
NPI assigned
Apr 17, 2006
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITAL OF LARAMIE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Margaret E. Allen
Title
Director of Billing Services
Phone
(307) 773-8237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 07-218 WY Primary

Addresses

Primary practice location

2600 E 18TH St
Cheyenne, WY 82001-5511

Mailing address

214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 634-2273

Other identifiers 3

IdentifierTypeStateIssuer
107334601MedicaidWY
107334603MedicaidWY
107334616MedicaidWY

Other names 1

  • Cheyenne Regional Medical Center Home Care Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070307000223 WY Part A Provider - Home Health Agency 1557357555 2 other NPIs on this enrollment
Practice locations: Cheyenne, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568426435. Details of each certification follow.

Home health agency certification: CCN 537014

Legal name
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Doing business as
CHEYENNE REGIONAL MEDICAL CENTER HOME CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 1, 1975
Last certification
Nov 19, 2018
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Enrollment address
2600 E 18TH St
Cheyenne, WY 82001-5511

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Cheyenne Regional Medical Center Home Care ServicesCCN 537014 · All quality measures
Overall star rating
2 of 5
Ownership
Government Operated
Certified
Sep 1, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
United Med Ctr Psych20 organizations share this tax ID, including this one
Part of
United Med Ctr Psych

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Robin Cooley Individual Corporate DirectorBoard of Directors - Trustee Jul 1, 2017
Tanya Keller Individual Corporate DirectorBoard of Directors Jul 1, 2023
Karlynn Quist Individual Corporate DirectorBoard of Directors Jul 1, 2023
Memorial Hospital of Laramie County Organization, Cheyenne, WY 5% Or Greater Mortgage Interest Nov 23, 2011
Barbara Y Wigington Individual Corporate OfficerChief Financial Officer Aug 1, 2023
David Cook Individual Corporate DirectorBoard of Directors Jul 1, 2023
Margaret (Beth) Allen Individual W-2 Managing EmployeeDirector of Billing Services Mar 1, 2021
Rick Fortney Individual Corporate DirectorBoard of Directors - Trustee Jan 1, 2019
Mel Muldrow Individual Corporate OfficerBoard of Directors - Vice President Jul 1, 2017
Peter Obermueller Individual Corporate DirectorBoard of Directors - Trustee Jan 1, 2019
Jacob J Merrell Individual Corporate DirectorBoard of Directors Jul 1, 2023
Jean a Halpern Individual Corporate OfficerBoard of Directors President Jul 1, 2009
Kelley L. Turner Individual W-2 Managing EmployeeAdministrator of Aging Servic Jul 1, 2023

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cheyenne Regional Medical CenterCheyenne, WY, CCN 530014 Hospital 5% Or Greater Direct Ownership Interest Nov 23, 2011
Cheyenne Regional Medical CenterCheyenne, WY, CCN 53T014 Hospital 5% Or Greater Direct Ownership Interest Nov 23, 2011
Cheyenne Regional Medical CenterCheyenne, WY, CCN 53S014 Hospital 5% Or Greater Direct Ownership Interest Nov 23, 2011
Cheyenne Regional Davis Hospice CenterCheyenne, WY, CCN 531502 Hospice 5% Or Greater Direct Ownership Interest Oct 8, 2012

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1568426435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E 23RD ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013748",
            "telephone_number": "307-634-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E 18TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015511",
            "telephone_number": "307-633-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF LARAMIE COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL OF LARAMIE COUNTY",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-03-22",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING SERVICES",
        "authorized_official_telephone_number": "307-773-8237"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WY",
            "license": "07-218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107334601",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107334603",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107334616",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheyenne Regional Medical Center Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.