MEDICARE: LEAP SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1619826997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEAP SERVICES LLC

Provider Business Mailing Address
First Line	:	127 .5 GRANT STREET
Second Line	:	127 .5 GRANT STREET
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901
Country	:	US
Telephone Number	:	307-389-1819
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 .5 GRANT STREET
Second Line	:	127 .5 GRANT STREET
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901
Country	:	US
Telephone Number	:	307-389-1819
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	NICOLE J CRUZ
Credential	:
Telephone Number	:	307-389-1816

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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