Provider Demographics
NPI:1942580113
Name:AUSUS HOME CARE, LLC
Entity type:Organization
Organization Name:AUSUS HOME CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:SIMKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-635-1190
Mailing Address - Street 1:722 VISTA LN
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-3330
Mailing Address - Country:US
Mailing Address - Phone:307-635-1190
Mailing Address - Fax:307-635-1185
Practice Address - Street 1:722 VISTA LN
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-3330
Practice Address - Country:US
Practice Address - Phone:307-635-1190
Practice Address - Fax:307-635-1185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-19
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPENDING251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health