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BISHOP SUGARLAND RIDGE LESSEE LLC NPI 1396229787


NPI Information

NPI: 1396229787
Provider Name: BISHOP SUGARLAND RIDGE LESSEE LLC

Doing Business As: ELMCROFT OF SUGARLAND RIDGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1551 SUGARLAND DR
SHERIDAN, WY
ZIP 82801
Phone: (307) 674-5575
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BISHOP SUGARLAND RIDGE LESSEE LLC is an assisted living facility in Sheridan, WY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BISHOP SUGARLAND RIDGE LESSEE LLC NPI is 1396229787. The provider is registered as an organization entity type.
The provider Is Doing Business As Elmcroft Of Sugarland Ridge.

The provider's business location address is:

1551 SUGARLAND DR
SHERIDAN, WY
ZIP 82801-721
Phone: (307) 674-5575
Fax: (307) 674-8070

The provider's authorized official is Tracey Gamble .
The authorized official title is Vice President and has the following contact phone number (212) 472-4067.

The enumeration date for this NPI number is 9/20/2018 and was last updated on 12/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGMEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.