Active NPI
Morning Star Care Center
- Skilled Nursing Facility
- Fort Washakie, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 07-153
- Legal business name
- MORNING STAR CARE CENTER
- Practice address
- 4 North Fork Rd
Fort Washakie, WY 82514-0859 - Phone
- (307) 332-6902
- Fax
- (307) 332-4279
- NPI assigned
- Oct 13, 2006
- Last updated
- Jul 22, 2020
- 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
- Tamara A Reed, NHA
- Title
- Administrator
- Phone
- (307) 332-6902
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 07-153 | WY | Primary |
Addresses
Primary practice location
4 North Fork Rd
Fort Washakie, WY 82514-0859
Mailing address
PO Box 859
4 North Fork Rd
Fort Washakie, WY 82514-0859
Phone (307) 332-6902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115247500 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071003000770 | WY | Part A Provider - Skilled Nursing Facility | 9739270778 | Practice locations: Fort Washakie, WY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1851481634. Details of each certification follow.
Skilled nursing facility certification: CCN 535050
- Legal name
- MORNING STAR CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 15, 1994
- Last certification
- Apr 10, 2025
- Beds
- 45
- Ownership / control type
- Federal
- Organization structure
- Other
- Enrollment address
- 4 North Fork Road
Fort Washakie, WY 82514 - Nursing home name
- MORNING STAR CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Morning Star Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - Federal
- Certified
- May 15, 1994
- Medicare certification status
- Active
- Certified beds
- 45
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D0519914 | Morning Star Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Robin St Clair | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Kaeli Rivera | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Tiffany Hash | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Morning Star Care Center | 5% Or Greater Direct Ownership Interest | Jan 1, 1986 | 100% |
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Fort Washakie, WY
- NPI 1508931981
-
- Occupational Therapy Assistant
- Fort Washakie, WY
- NPI 1588806855
-
- Physical Therapy Assistant
- Fort Washakie, WY
- NPI 1811263486
-
- Physical Therapy Assistant
- Fort Washakie, WY
- NPI 1033357629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595376000000",
"number": "1851481634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 859",
"address_2": "4 NORTH FORK RD",
"city": "FORT WASHAKIE",
"state": "WY",
"postal_code": "825140859",
"telephone_number": "307-332-6902",
"fax_number": "307-332-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 NORTH FORK RD",
"city": "FORT WASHAKIE",
"state": "WY",
"postal_code": "825140859",
"telephone_number": "307-332-6902",
"fax_number": "307-332-4279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNING STAR CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "307-332-6902",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WY",
"license": "07-153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115247500",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Washakie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.