Healthcare Provider Details

I. General information

NPI: 1770423626
Provider Name (Legal Business Name): TRANSITIONS SERIOUS ILLNESS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 S WILSON ST
CASPER WY
82601-2943
US

IV. Provider business mailing address

319 S WILSON ST
CASPER WY
82601-2943
US

V. Phone/Fax

Practice location:
  • Phone: 307-577-4832
  • Fax: 307-577-4841
Mailing address:
  • Phone: 307-577-4832
  • Fax: 307-577-4841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KILTY BROWN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 307-577-4832