Access Hospice Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ACCESS HOSPICE CARE LLC

Practice address

102293 Hwy 89
Thayne, WY 83127

Phone

(435) 755-6599

Fax

(435) 755-6548

NPI assigned

Feb 20, 2009

Last updated

Feb 20, 2009By 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

Mr. Chad Mangum, BSN

Title

Clinical Administrator/Owner

Phone

(435) 755-6548

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1619117348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 W 100 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214506",
            "telephone_number": "435-755-6599",
            "fax_number": "435-755-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102293 HWY 89",
            "city": "THAYNE",
            "state": "WY",
            "postal_code": "83127",
            "telephone_number": "435-755-6599",
            "fax_number": "435-755-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "435-755-6548",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Home Care LLC
• Alliance Hospice of Star Valley
• Lisa Ashment
• Julie Balsamo, MS, RDN
• Luke Dewey Brog, O.D.
• Broulim Supermarkets, LLC (Broulim's Pharmacy #4 - Thayne)

• Home Health Agency in Thayne, WY
• Providers in Thayne, WY by specialty
• Home Health Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.