WYOMING LIFE RESOURCE CENTER
NPI 1366501561
Intermediate Care Facility, Intellectual Disabilities in Lander, WY

Active since December 06, 2006CLIA 53D0662191 · Waiver
8204 STATE HIGHWAY 789, LANDER, WY 82520(307) 335-6700(307) 335-6764 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wyoming Life Resource Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYOMING LIFE RESOURCE CENTER (NPI 1366501561) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Lander, Wyoming and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Kevin Kulow, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1366501561
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameWYOMING LIFE RESOURCE CENTER
Location Address8204 STATE HIGHWAY 789Lander, WY 82520-2941
Mailing Address8204 State Highway 789Lander, WY 82520-2941 · (307) 335-6700 · Fax (307) 335-6764
Fax(307) 335-6764
Organization SubpartNo
Authorized OfficialKevin KulowOperations Manager · (307) 335-6762
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
NPI 1366501561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in WY · 100180900
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
8204 STATE HIGHWAY 789, Lander, WY 82520

Other Identifiers 1

Medicaid100180900WY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D0662191

Wyoming Life Resource Center · Lander, WY
Active · expires Aug 20, 2026
CLIA Number53D0662191
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorMelissa Winn
Laboratory Phone(307) 335-6700
Laboratory LocationWyoming Life Resource Center8204 Highway 789, Lander, WY 82520
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Institutional Pharmacy)
8204 STATE HIGHWAY 789
LANDER, WY 82520
General Practice
8204 STATE HIGHWAY 789
LANDER, WY 82520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyoming Life Resource Center's NPI number?

The NPI number for Wyoming Life Resource Center is 1366501561. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Wyoming Life Resource Center located?

Wyoming Life Resource Center is located at 8204 State Highway 789, Lander, WY 82520. The listed phone number is (307) 335-6700.

What is Wyoming Life Resource Center's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Wyoming Life Resource Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D0662191) is associated with this NPI, valid through August 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wyoming Life Resource Center was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.