Organization 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
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0713110 Issued in WY
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1841484243MedicaidWY

Other names 1

  • Frontier Home Health and Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 1, 2021 Change of OwnershipThis provider was the seller Enhabit HospiceCCN 531507A, WY, NPI 1386235976

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Verify at the official NPI Registry.