Heart Mountain Home Care LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

HEART MOUNTAIN HOME CARE LLC

Practice address

333 S Jones #4
Powell, WY 82435-3103

Phone

(307) 219-8509

NPI assigned

Jan 6, 2023

Organization subpart

No

Name

Shay Bales, CNANPI 1003529942

Title

Owner

Phone

(307) 219-8509

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shay Bales

  • Nursing Care Agency
  • Powell, WY
  • NPI 1003529942

  Nursing Care

  NPD Authorized official

• Heart Moutain HomeCare LLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2023.

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1609580596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 S GILBERT ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824353016",
            "telephone_number": "307-219-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S JONES #4",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824353103",
            "telephone_number": "307-219-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART MOUNTAIN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "BALES",
        "authorized_official_first_name": "SHAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-219-8509",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92151784",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Moutain HomeCare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Adrienne M Harvey, OTR/L
• Darlene V Hauser, FNP-BC
• Susan C Hawkinson, SLP
• Heart Mountain Care LLC
• Heart Mountain Eyecare Group
• Heavens Peak Behavioral Health Services, Ins
• Hematology Oncology Centers of the Northern Rockies PC
• Paul Averett Heron
• Alan Hill, ATC
• Lexie Hill, DNP, FNP-BC

• All providers in Powell, WY
• Assisted Living Facility (Mental Illness) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.