NPIMap

Organization Active NPI

Lsref Golden Ops 14 (Wy) LLC

  • Assisted Living Facility
  • Casper, WY
National Provider Identifier
1598097404
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10181 Issued in WY
Legal business name
LSREF GOLDEN OPS 14 (WY) LLC
Practice address
3955 E 12TH St
Casper, WY 82609-3114
Phone
(307) 577-3045
Fax
(307) 577-3047
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Tom Wentz Jr.
Title
Exec. VP/Coo
Phone
(701) 837-7103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10181 WY Primary

Addresses

Primary practice location

3955 E 12TH St
Casper, WY 82609-3114

Mailing address

3015 16TH St SW
Ste 100
Minot, ND 58701-6906
Phone (701) 837-7103

Other names 1

  • Meadow Wind Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lsref Golden Ops 14 Wy LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1598097404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 16TH ST SW",
            "address_2": "STE 100",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016906",
            "telephone_number": "701-837-7103",
            "fax_number": "701-838-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E 12TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093114",
            "telephone_number": "307-577-3045",
            "fax_number": "307-577-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSREF GOLDEN OPS 14 (WY) LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "WENTZ",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "EXEC. VP/COO",
        "authorized_official_telephone_number": "701-837-7103",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WY",
            "license": "10181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Wind Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 2, 2010; 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.