CANDICE R. GRONBERG – NPI #1356632087
Respite Care

A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

CANDICE GRONBERG is a respite care facility located in LANDER, WY. NPPES has assigned the NPI number 1356632087 to CANDICE GRONBERG on April 28, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 385HR2060X from the Health Care Provider Taxonomy code set, which is classified as Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, Child

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANDICE GRONBERG below.

NPI Profile for
CANDICE R. GRONBERG

NPI Number
1356632087
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CANDICE R. GRONBERG
Primary location
4 ROBERTS ROAD
LANDER, WY 82520-1401
Phone: (307) 332-9122 Fax: (307) 332-9122
Mailing address
PO BOX 1401
4 ROBERTS ROAD
LANDER, WY 82520-1401
Phone: (307) 332-9122 Fax: (307) 332-9122
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
385HR2060X
- Respite Care / Respite Care, Intellectual and/or Developmental Disabilities, Child (Primary)
WY 114858300

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.