NPIMap

Organization Active NPI

State of Wyoming

Doing business as Wyoming Retirement Center

  • Skilled Nursing Facility
  • Basin, WY
National Provider Identifier
1659328821
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
06-107 Issued in WY
Legal business name
STATE OF WYOMING
Doing business as
Wyoming Retirement Center
Practice address
890 Highway 20 S
Basin, WY 82410-9587
Phone
(307) 568-2431
Fax
(307) 568-3887
NPI assigned
May 31, 2006
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Marla Fay Taylor-Thomas, LNHA
Title
Administrator
Phone
(307) 568-2431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 06-107 WY Primary

Addresses

Primary practice location

890 Highway 20 S
Basin, WY 82410-9587

Mailing address

890 Highway 20 S
Basin, WY 82410-9587
Phone (307) 568-2431

Other identifiers 1

IdentifierTypeStateIssuer
100176100MedicaidWY

Other names 1

  • Wyoming Retirement Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080925000220 WY Part A Provider - Skilled Nursing Facility 4587552583 Practice locations: Basin, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659328821. Details of each certification follow.

Skilled nursing facility certification: CCN 535021

Legal name
STATE OF WYOMING
Doing business as
WYOMING RETIREMENT CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 12, 1984
Last certification
Dec 12, 2024
Beds
90
Ownership / control type
State
Multi-facility organization
State of Wyoming
Organization structure
OtherNon-profit
Enrollment address
890 US Highway 20 S
Basin, WY 82410-9587
Nursing home name
WYOMING RETIREMENT CENTER

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wyoming Retirement CenterCCN 535021 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Sep 12, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9068.8 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $146,485

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Wy Public HLTH Lab11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
State of Wyoming Organization, Basin, WY Chain home office 5% Or Greater Direct Ownership Interest May 23, 1985 100%
Adp of the SNF May 23, 1984
Individual Adp of the SNF Jan 1, 2025
Marla Fay Taylor-Thomas Individual 5% Or Greater Indirect Ownership InterestAdministrator May 1, 2023
Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Individual Adp of the SNF Jul 1, 1981
Indirect Ownership Interest Jul 1, 1981

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • State of Wyoming

    dba Mountain View Skilled Nursing Community at Wyoming Life Resource Cente

    • Skilled Nursing Facility
    • Lander, WY
    • NPI 1093337990

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • State of Wyoming

    dba Wyoming State Hospital

    • Psychiatric Hospital
    • Evanston, WY
    • NPI 1316011562

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • State of Wyoming
    • Skilled Nursing Facility
    • Buffalo, WY
    • NPI 1386396935

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wyoming State HospitalEvanston, WY, CCN 534001 Hospital Other Jan 1, 1990
Mountain View Skilled Nursing Community at Wyoming Life Resource CenteLander, WY, CCN 535058 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Nov 27, 2022
Nov 27, 2022
Nov 27, 2022
State of WyomingBuffalo, WY, CCN 535061 Skilled nursing facility 5% Or Greater Security Interest
Operational/Managerial Control		 Jan 14, 2025
Jan 14, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • State of Wyoming

    dba Mountain View Skilled Nursing Community at Wyoming Life Resource Cente

    • Skilled Nursing Facility
    • Lander, WY
    • NPI 1093337990

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • State of Wyoming

    dba Wyoming State Hospital

    • Psychiatric Hospital
    • Evanston, WY
    • NPI 1316011562

    Other

    CMS ownership
  • State of Wyoming
    • Skilled Nursing Facility
    • Buffalo, WY
    • NPI 1386396935

    5% Or Greater Security Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1659328821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 HIGHWAY 20 S",
            "city": "BASIN",
            "state": "WY",
            "postal_code": "824109587",
            "telephone_number": "307-568-2431",
            "fax_number": "307-568-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 HIGHWAY 20 S",
            "city": "BASIN",
            "state": "WY",
            "postal_code": "824109587",
            "telephone_number": "307-568-2431",
            "fax_number": "307-568-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF WYOMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-THOMAS",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "307-568-2431",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WY",
            "license": "06-107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100176100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyoming Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wyoming Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Basin, WY

Sources for this page

Verify at the official NPI Registry.