Healthcare Provider Details

I. General information

NPI: 1437065174
Provider Name (Legal Business Name): CAREGIVERS OF WYOMING LC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1807 COPPERVILLE RD
CHEYENNE WY
82001-6544
US

IV. Provider business mailing address

PO BOX 21673
CHEYENNE WY
82003-7031
US

V. Phone/Fax

Practice location:
  • Phone: 307-286-0382
  • Fax:
Mailing address:
  • Phone: 307-286-0382
  • 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: MR. MATTHEW HURT
Title or Position: CEO
Credential:
Phone: 307-286-0382