OrganizationActive
Access Home Care LLC
NPI 1801034475 · Home Health Agency · Thayne, WY
Provider details
- NPI number
- 1801034475
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Chad Mangum, Clinical Administrator(435) 755-6599
Specialties & taxonomies
Agencies
Practice location
102293 Hyw 89 S
Thayne, WY 83127
Phone: (307) 883-7583
Approximate (ZIP-level) locationGet directions
Mailing address
74 W 100 N
Logan, UT 84321-4506
Registry dates
- Enumerated
- 2009-02-04
- Last updated
- 2009-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.