Active NPI
Frontier Wyoming, L.L.C.
Doing business as Frontier Home Health and Hospice
- Community Based Hospice Care Agency
- Lander, WY
National Provider Identifier
1841484243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 0713110
- Legal business name
- FRONTIER WYOMING, L.L.C.
- Doing business as
- Frontier Home Health and Hospice
- Practice address
- 230 N 1St St
Lander, WY 82520-2838 - Phone
- (307) 332-2922
- Fax
- (307) 332-0106
- NPI assigned
- Aug 29, 2007
- Last updated
- Apr 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martha M Bogucki
- Title
- Cfo
- Phone
- (203) 693-3840
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 08-206 | WY | |
| Community Based Hospice Care Agency | 251G00000X | 0713110 | WY | Primary |
Addresses
Primary practice location
230 N 1St St
Lander, WY 82520-2838
Mailing address
53 River St
Yankee Professional Building
Milford, CT 06460-3346
Phone (203) 693-3840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841484243 | Medicaid | WY |
Other names 1
- Frontier Home Health and Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jun 1, 2021 | Change of Ownership | Enhabit Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Enhabit Hospice
- Community Based Hospice Care Agency
- Lander, WY
- NPI 1386235976
Sold to, 2021-06-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398384000000",
"number": "1841484243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 RIVER ST",
"address_2": "YANKEE PROFESSIONAL BUILDING",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603346",
"telephone_number": "203-693-3840",
"fax_number": "203-693-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N 1ST ST",
"city": "LANDER",
"state": "WY",
"postal_code": "825202838",
"telephone_number": "307-332-2922",
"fax_number": "307-332-0106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTIER WYOMING, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-29",
"last_updated": "2014-04-25",
"status": "A",
"authorized_official_last_name": "BOGUCKI",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "203-693-3840"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "WY",
"license": "08-206",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "WY",
"license": "0713110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841484243",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Frontier Home Health and Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lander, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.