Provider Demographics
NPI:1013716943
Name:COMPASS HOME HEALTHCARE WYOMING LLC
Entity type:Organization
Organization Name:COMPASS HOME HEALTHCARE WYOMING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MISNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-316-4608
Mailing Address - Street 1:1904 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-5107
Mailing Address - Country:US
Mailing Address - Phone:308-316-4608
Mailing Address - Fax:308-320-7059
Practice Address - Street 1:1904 E 15TH ST
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-5107
Practice Address - Country:US
Practice Address - Phone:308-316-4608
Practice Address - Fax:308-320-7059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No385H00000XRespite Care FacilityRespite Care