Healthcare Provider Details

I. General information

NPI: 1780615716
Provider Name (Legal Business Name): BEST HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 04/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

637 FRONT ST
EVANSTON WY
82930-3520
US

IV. Provider business mailing address

637 FRONT ST
EVANSTON WY
82930-3520
US

V. Phone/Fax

Practice location:
  • Phone: 307-789-2899
  • Fax: 307-789-3480
Mailing address:
  • Phone: 307-789-2899
  • Fax: 307-789-3480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number6453
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number06-056
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number06-081
License Number StateWY
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number6453
License Number StateWY
# 5
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number6453
License Number StateWY

VIII. Authorized Official

Name: BERNICE T GRIGGS
Title or Position: BUSINESS MANAGER
Credential:
Phone: 307-789-2899