Alliance Home Health and Hospice of Wyoming, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2006-513520 Issued in WY

Legal business name

ALLIANCE HOME HEALTH AND HOSPICE OF WYOMING, LLC

Practice address

878 N Washington St
Hwy 89
Afton, WY 83110-9770

Phone

(307) 866-0330

Fax

(307) 886-0333

NPI assigned

Jun 4, 2006

Last updated

Aug 22, 2020By 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

Mr. Justin Larsen

Title

Ceo

Phone

(435) 753-0707

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821036328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 S 100 W",
            "address_2": "STE. 204",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216062",
            "telephone_number": "435-753-0707",
            "fax_number": "435-755-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 N WASHINGTON ST",
            "address_2": "HWY 89",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831109770",
            "telephone_number": "307-866-0330",
            "fax_number": "307-886-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HOME HEALTH AND HOSPICE OF WYOMING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-753-0707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WY",
            "license": "2006-513520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afton Family Pharmacy
• Allred Performance and Rehabilitation LLC
• Steven Wayne Amann
• Eric Arthur Anderson, PA-C
• Valerie Merritt Anglesey
• Jamie Armstrong, SLP-CCC

• Home Health Agency in Afton, WY
• Providers in Afton, WY by specialty
• Home Health 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.