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SHERIDAN SENIOR LIVING LLC NPI 1962679175


NPI Information

NPI: 1962679175
Provider Name: SHERIDAN SENIOR LIVING, LLC

Doing Business As: SUGARLAND RIDGE SENIOR LIVING COMMUNITY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1551 SUGARLAND DR
SHERIDAN, WY
ZIP 82801
Phone: (307) 674-5575
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SHERIDAN SENIOR LIVING, 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. SHERIDAN SENIOR LIVING, LLC NPI is 1962679175. The provider is registered as an organization entity type.
The provider Is Doing Business As Sugarland Ridge Senior Living Community.

The provider's business location address is:

1551 SUGARLAND DR
SHERIDAN, WY
ZIP 82801
Phone: (307) 674-5575
Fax: (503) 485-1279

The provider's authorized official is Shirley Dunn .
The authorized official title is Cro Representative and has the following contact phone number (503) 485-4948.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 10/19/2009.


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 FacilityNo
2310400000XAssisted Living Facility10235WYOMINGYes

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
1126323400MEDICAIDWYOMING

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

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