Provider Demographics
NPI:1780615716
Name:BEST HOME HEALTH
Entity type:Organization
Organization Name:BEST HOME HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:T
Authorized Official - Last Name:GRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-789-2899
Mailing Address - Street 1:637 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:WY
Mailing Address - Zip Code:82930-3520
Mailing Address - Country:US
Mailing Address - Phone:307-789-2899
Mailing Address - Fax:307-789-3480
Practice Address - Street 1:637 FRONT ST
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:WY
Practice Address - Zip Code:82930-3520
Practice Address - Country:US
Practice Address - Phone:307-789-2899
Practice Address - Fax:307-789-3480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY06-081251G00000X
WY6453251S00000X, 251V00000X, 251B00000X
WY06-056251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY120648602Medicaid
WY120648603Medicaid
WY120648600Medicaid
WY120648601Medicaid
WY120648604Medicaid
WY120648600Medicaid
WY531522Medicare ID - Type UnspecifiedHOSPICE