Organization Active NPI

High Country Home Health

  • Home Health Agency
  • Laramie, WY
National Provider Identifier
1629066360
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
06-157 Issued in WY
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)CodeLicenseStatePrimary
Home Health Agency 251E00000X 06-157 WY Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.