NPIMap

Cowboy Cares, Inc.

Organization Active NPI Home Health Agency · Lyman, WY

NPI 1821472903 · NPPES record last updated May 7, 2019

Key facts

NPI
1821472903
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
15233 (WY)
Legal business name
COWBOY CARES, INC.
Practice address
70 Meadow Street
Lyman, WY 82937
Phone
(307) 786-4357
Fax
(307) 459-1020
NPI assigned
Jul 17, 2015
Organization subpart
No

Authorized official

Name
Bonnie Britton
Title
Board of Directors/Billing
Phone
(307) 786-4357

Practitioners 2

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

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Home health agency

Listed as
Cowboy Cares Home Health CCN 537079
Overall star rating
★★★★☆ 3.5 of 5
Ownership
Proprietary
Certified
Mar 28, 2016
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Medicare Care Compare: Hospice

Listed as
Cowboy Cares Home Health & Hospice CCN 531528
Ownership
For-Profit
Certified
Jan 24, 2020
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2106567Cowboy Cares Inc
70 Meadow Street, Urie, WY 82937		Certificate of waiverDec 20, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WY

Home health agency certification: CCN 537079

Legal name
COWBOY CARES INC
Doing business as
COWBOY CARES HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 28, 2016
Last certification
Mar 28, 2016
Ownership / control type
Proprietary
Organization structure
Corporation · Proprietary
Incorporated
Jun 23, 2015 in WY
Enrollment address
39806 Business Loop 80
Ste 2
Lyman, WY 82937-9093

Hospice certification: CCN 531528

Legal name
COWBOY CARES INC
Doing business as
COWBOY CARES HOME HEALTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 24, 2020
Last certification
Jan 24, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
Corporation · Proprietary
Incorporated
Jun 23, 2015 in WY
Enrollment address
39814 Business Loop 80
Lyman, WY 82937-9093

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
April M Behunin
Individual 		5% Or Greater Direct Ownership Interest May 16, 2023 45%
Corporate Officer
Owner, President		 Jun 23, 2015
Corporate Director Jun 23, 2015
W-2 Managing Employee
Owner, President		 Jun 23, 2015
5% Or Greater Direct Ownership Interest
Owner		 Jun 23, 2015 30%
Corporate Officer
Owner President		 Jun 23, 2015
Corporate Director
Owner President		 Jun 23, 2015
W-2 Managing Employee
Owner President		 Jun 23, 2015
Jennifer Haines
Individual 		5% Or Greater Direct Ownership Interest May 16, 2023 45%
Corporate Officer
Owner, Treasurer		 Jun 23, 2015
Corporate Director
Board Member		 Jun 23, 2015
5% Or Greater Direct Ownership Interest
Owner		 Jun 23, 2015 30%
Corporate Officer
Owner Treasurer		 Jun 23, 2015
Corporate Director
Owner Treasurer		 Jun 23, 2015
Bonnie Britton
Individual 		5% Or Greater Direct Ownership Interest May 16, 2023 10%
Corporate Officer
Secretary		 Apr 1, 2019
5% Or Greater Direct Ownership Interest
Owner		 Jun 23, 2015 10%
Corporate Officer
Secretary		 Jun 23, 2015
Corporate Director
Secretary		 Jun 23, 2015
Melissa Marroquin
Individual 		5% Or Greater Direct Ownership Interest
Owner		 Jun 23, 2015 30%
Corporate Officer
Owner Vice President		 Jun 23, 2015
Corporate Director
Owner Vice President		 Jun 23, 2015
W-2 Managing Employee
Owner Vice President		 Jun 23, 2015
Linda L Nave-Torzillo
Individual 		5% Or Greater Direct Ownership Interest Sep 5, 2019 15%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20151202002823 WY Part a Provider - Home Health Agency 4385944008 Practice locations: Evanston, WY; Lyman, WY; Rock Springs, WY
O20190514000772 WY Part a Provider - Hospice 4385944008 Practice locations: Lyman, WY; Rock Springs, WY; Evanston, WY

National Provider Directory

Locations

88 Yellow Creek Rd
Evanston, WY 82930
Phone (307) 288-7111

617 Broadway St
Ste E
Rock Springs, WY 82901
Phone (307) 212-6545

2001 Dewar Dr
Ste 170
Rock Springs, WY 82901
Phone (307) 212-6545

617 Broadway St
Ste C
Rock Springs, WY 82901
Phone (307) 382-8661

2001 Dewar Dr
Rock Springs, WY 82901
Phone (307) 362-4980

39806 Business Loop 80
#2
Urie, WY 82937
Phone (307) 786-4357

70 Meadow St
Urie, WY 82937
Phone (307) 786-4357

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X 15233 WY Yes
Community Based Hospice Care Agency 251G00000X
Private Vehicle 347C00000X 15233 WY

Addresses

Primary practice location

70 Meadow Street
Lyman, WY 82937

Mailing address

PO Box 1449
Lyman, WY 82937
Phone (307) 786-4357

Other identifiers

IdentifierTypeStateIssuer
156524MedicaidWY

Other names

  • Cowboy Cares Home Health Doing business as

Other providers in Lyman, WY

All providers in Lyman, WY · Home Health Agency in Wyoming

Sources for this page

Verify at the official NPI Registry.