Provider Demographics
NPI:1952713158
Name:CASPER CARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:CASPER CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:HERBERT
Authorized Official - Last Name:SCHOENWOLF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-251-4432
Mailing Address - Street 1:4050 S POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-6103
Mailing Address - Country:US
Mailing Address - Phone:307-251-4432
Mailing Address - Fax:
Practice Address - Street 1:4050 S POPLAR ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-6103
Practice Address - Country:US
Practice Address - Phone:307-251-4432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-22
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care