Wyoming Independent Living Rehabilitation, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

162187 Issued in WY

Legal business name

WYOMING INDEPENDENT LIVING REHABILITATION, INC.

Practice address

305 W 1St St
Casper, WY 82601-2405

Phone

(307) 266-6956

Fax

(307) 266-6957

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth L Hoff

Title

Executive Director

Phone

(307) 266-6956

Specialties & licenses 1

Addresses

Other names 1

• WILR Other name

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720167562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012405",
            "telephone_number": "307-266-6956",
            "fax_number": "307-266-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012405",
            "telephone_number": "307-266-6956",
            "fax_number": "307-266-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING INDEPENDENT LIVING REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFF",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-266-6956",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WY",
            "license": "162187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Agency in Casper, WY
• Providers in Casper, WY by specialty
• Case Management Agency in Wyoming

• 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.