Provider Demographics
NPI:1730227638
Name:CONTINUE CARE HOME HEALTH AGENCY INC
Entity type:Organization
Organization Name:CONTINUE CARE HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGBOTTOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-632-4448
Mailing Address - Street 1:410 MANEWAL DR
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-4016
Mailing Address - Country:US
Mailing Address - Phone:307-632-4448
Mailing Address - Fax:
Practice Address - Street 1:410 MANEWAL DR
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-4016
Practice Address - Country:US
Practice Address - Phone:307-632-4448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY05-205251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY107170000Medicaid
WY537045Medicare ID - Type UnspecifiedHOME HEALTH AGENCY