Healthcare Provider Details

I. General information

NPI: 1558277368
Provider Name (Legal Business Name): COATS COMPANION CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 THORNDIKE AVE
CASPER WY
82601-5030
US

IV. Provider business mailing address

2112 THORNDIKE AVE
CASPER WY
82601-5030
US

V. Phone/Fax

Practice location:
  • Phone: 541-530-2856
  • Fax:
Mailing address:
  • Phone: 541-530-2856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: GARRETT COATS
Title or Position: PRESIDENT
Credential:
Phone: 541-530-2856