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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SECOND MILE WYOMING LLC
NPI 1417855560
Case Manager/Care Coordinator in Odessa, TX

Active since October 28, 2026
1417 N MEADOW AVE, ODESSA, TX 79761(307) 377-0498 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Second Mile Wyoming Llc NPPES

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

SECOND MILE WYOMING LLC (NPI 1417855560) is a healthcare organization registered as a case manager/care coordinator in Odessa, Texas and active in the NPI registry since October 2026. The organization lists Mallary Wentz, Owner, as its authorized official.

NPPES Registry Identity

NPI1417855560
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameSECOND MILE WYOMING LLC
Location Address1417 N MEADOW AVEOdessa, TX 79761-3211
Mailing Address1417 N Meadow AveOdessa, TX 79761-3211 · (307) 377-0498
Phone(307) 377-0498
Organization SubpartNo
Authorized OfficialMallary WentzOwner · (307) 377-0498
Enumeration DateOctober 28, 2026
NPPES CertifiedOctober 28, 2026
✔ NPI 1417855560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1417 N MEADOW AVE, Odessa, TX 79761
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MALLARY WENTZ
Case Manager/Care Coordinator
1417 N MEADOW AVE
ODESSA, TX 79761
Ector County (307) 377-0498

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 Second Mile Wyoming LLC's NPI number?

The NPI number for Second Mile Wyoming LLC is 1417855560. It was assigned to this organization in the NPPES registry on October 28, 2026.

Where is Second Mile Wyoming LLC located?

Second Mile Wyoming LLC is located at 1417 N Meadow Ave, Odessa, TX 79761. The listed phone number is (307) 377-0498.

What is Second Mile Wyoming LLC's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Second Mile Wyoming LLC was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.