Sundance Assisted Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNDANCE ASSISTED CARE

Practice address

108 Abby Lane
Sundance, WY 82729-0944

Phone

(307) 283-1042

Fax

(307) 283-2120

NPI assigned

Jan 26, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda Johnson, REGISTERED NURSE

Title

Nurse Manager/Owner

Phone

(307) 283-1042

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1093467441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 944",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827290944",
            "telephone_number": "307-283-1042",
            "fax_number": "307-283-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ABBY LANE",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827290944",
            "telephone_number": "307-283-1042",
            "fax_number": "307-283-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE ASSISTED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "NURSE MANAGER/OWNER",
        "authorized_official_telephone_number": "307-283-1042",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Sundance, WY
• Providers in Sundance, WY by specialty
• Assisted Living Facility in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.