# CASPER HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MISSION HEALTHCARE LLC
- **Other names:** Shepherd of the Valley Healthcare Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588697742
- **Legal business name:** MISSION HEALTHCARE LLC
- **Authorized official:** MR. THOMAS E BOERBOOM (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (952) 873-7907

## Contact information

- **Practice address:** 60 MAGNOLIA, CASPER, WY 82604-3801
- **Practice address phone:** (307) 234-9381
- **Practice address fax:** (307) 234-6205
- **Mailing address:** 60 MAGNOLIA, CASPER, WY 82604-3801
- **Mailing address phone:** (307) 234-9381
- **Mailing address fax:** (307) 234-6205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 10216 | WY | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 05/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 106292100 | — | WY |