Provider Demographics
NPI:1013381300
Name:ROBIN'S NEST HOMECARE
Entity Type:Organization
Organization Name:ROBIN'S NEST HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:WYSE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:307-575-0873
Mailing Address - Street 1:5159 ROAD 58
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:WY
Mailing Address - Zip Code:82240-7743
Mailing Address - Country:US
Mailing Address - Phone:307-575-0873
Mailing Address - Fax:
Practice Address - Street 1:5159 ROAD 58
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:WY
Practice Address - Zip Code:82240-7743
Practice Address - Country:US
Practice Address - Phone:307-575-0873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-24
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY29793251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health