Healthcare Provider Details

I. General information

NPI: 1487567533
Provider Name (Legal Business Name): PEAK WYOMING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2031 CLIFTON AVE
CASPER WY
82609-3276
US

IV. Provider business mailing address

2031 CLIFTON AVE
CASPER WY
82609-3276
US

V. Phone/Fax

Practice location:
  • Phone: 307-259-1547
  • Fax:
Mailing address:
  • Phone: 307-259-1547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ROB DEAN BAYER
Title or Position: OWNER/PROVIDER
Credential:
Phone: 307-259-1547