Baird Hudson Enterprises, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BAIRD HUDSON ENTERPRISES, LLC

Doing business as

Mondell Heights Retirement Community

Practice address

108 E Main St
Newcastle, WY 82701-2104

Phone

(307) 941-1919

NPI assigned

Feb 24, 2019

Last updated

Feb 24, 2019By 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

Diane Baird Baird Hudson

Title

Member/Owner

Phone

(307) 746-3228

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mondell Heights Retirement Community Doing business as

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550966400000",
    "number": "1770040982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E MAIN ST",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827012104",
            "telephone_number": "307-941-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E MAIN ST",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827012104",
            "telephone_number": "307-941-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIRD HUDSON ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-24",
        "last_updated": "2019-02-24",
        "status": "A",
        "authorized_official_last_name": "BAIRD HUDSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "BAIRD",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "307-746-3228"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68BA8FA68A",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mondell Heights Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Ackermann, ATC/ LAT ITAT
• Frieda Alice Adams
• Ted J Akers, MD
• Zelda M Anderson
• Pamela Anne Bahr, R.N.
• Shannon Ballard, PA-C
• Hallie Beth Bell
• Kayla C Bergstrom, PCSW
• Black Hills Dental P.C.
• Blackhills Dental PC

• Assisted Living Facility in Newcastle, WY
• Providers in Newcastle, 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 Feb 24, 2019; 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.