Healthcare Provider Details

I. General information

NPI: 1235188996
Provider Name (Legal Business Name): HOME OPTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 BIG HORN AVE
WORLAND WY
82401
US

IV. Provider business mailing address

1725 SHERIDAN AVE STE 128
CODY WY
82414
US

V. Phone/Fax

Practice location:
  • Phone: 304-347-2481
  • Fax: 307-347-2471
Mailing address:
  • Phone: 307-587-4601
  • Fax: 307-587-4608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CORALIE A HERRICK
Title or Position: INCORPORATOR
Credential: RN
Phone: 307-587-4601