Frontier Wyoming, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

10306 Issued in WY

Legal business name

FRONTIER WYOMING, LLC

Doing business as

Frontier Home Health and Hospice

Practice address

514 E Pershing Ave
Suite C
Riverton, WY 82501-3618

Phone

(307) 856-4127

Fax

(307) 856-4129

NPI assigned

Mar 17, 2010

Last updated

Sep 12, 2014By 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

Martha M Bogucki

Title

Cfo

Phone

(203) 693-3840

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Frontier Home Health and Hospice Doing business as

Tax ID family

Amedisys Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Amedisys Wyoming LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Lander, WY
  • NPI 1780011684
  NPD tax ID

Locations

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1669796884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 RIVER ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603346",
            "telephone_number": "203-693-3840",
            "fax_number": "203-693-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 E PERSHING AVE",
            "address_2": "SUITE C",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013618",
            "telephone_number": "307-856-4127",
            "fax_number": "307-856-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER WYOMING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "BOGUCKI",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "203-693-3840"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WY",
            "license": "10306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669796884",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fremont Therapy Group Limited Partnership
• Fremont Therapy Group Limited Partnership
• Fremont Therapy Group LLC
• Fremont Vision Clinic Inc
• Frontier Ambulance LLC
• Janet D'Ann Frost, MD
• Amy Lynn Fuhr
• Gunda Gamble, DVM
• Robert Glen Gamble, DVM
• Donna Gambler

• Community Based Hospice Care Agency in Riverton, WY
• Providers in Riverton, WY by specialty
• Community Based Hospice Care Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.