Healthcare Provider Details

I. General information

NPI: 1235279498
Provider Name (Legal Business Name): LOVE CARE & DIGNITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3344 RIDGE RD
CHEYENNE WY
82001-1734
US

IV. Provider business mailing address

3344 RIDGE RD
CHEYENNE WY
82001-1734
US

V. Phone/Fax

Practice location:
  • Phone: 307-432-0494
  • Fax: 307-632-0898
Mailing address:
  • Phone: 307-432-0494
  • Fax: 307-632-0898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW V. KUNZ
Title or Position: PROGRAM MANAGER
Credential:
Phone: 307-432-0494