Innovest Elderly Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

07-134 Issued in WY

Legal business name

INNOVEST ELDERLY LIVING, LLC

Practice address

1949 W Uinta St
Evanston, WY 82930-3229

Phone

(307) 444-4483

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Kevin M Dearing

Title

Owner

Phone

(916) 205-3311

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Norman Daniels, DPM

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
  • NPI 1760499180
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1679799894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 ORCHARD HILL WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 W UINTA ST",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829303229",
            "telephone_number": "307-444-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVEST ELDERLY LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "DEARING",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-205-3311"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WY",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WY",
            "license": "07-134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Hurst, M.S. CCC-SLP
• Cindy R Hutchings
• Tammy Ibarrat
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• Impact Physical Therapy LLC
• Integrity Home Care LLC
• Michael Gene Jacketta, MPT, OCS
• Baylee Lyn Jackson
• Brandon Jaggi, PMHNP
• Tyrell Janiga

• Assisted Living Facility in Evanston, WY
• Providers in Evanston, WY by specialty
• Assisted Living Facility in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.