Active NPI
High Country Home Health
- Home Health Agency
- Laramie, WY
National Provider Identifier
1629066360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 06-157
- Legal business name
- HIGH COUNTRY HOME HEALTH
- Practice address
- 3131 E Grand Ave
Laramie, WY 82070-5140 - Phone
- (307) 742-3120
- Fax
- (307) 742-4557
- NPI assigned
- Oct 6, 2005
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Marilyn Pedrick
- Title
- Administrator
- Phone
- (307) 742-3120
National Provider Directory
Locations
3131 E Grand Ave
Laramie, WY 82070
Phone (307) 742-3120
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 06-157 | WY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3131 E Grand Ave
Laramie, WY 82070-5140
Mailing address
3131 E Grand Ave
Laramie, WY 82070-5140
Phone (307) 742-3120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629066360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 E GRAND AVE",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705140",
"telephone_number": "307-742-3120",
"fax_number": "307-742-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 E GRAND AVE",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705140",
"telephone_number": "307-742-3120",
"fax_number": "307-742-4557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH COUNTRY HOME HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PEDRICK",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "307-742-3120",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WY",
"license": "06-157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.