Organization Active NPI

Senior Citizens Council

  • Home Health Agency
  • Sheridan, WY
National Provider Identifier
1265793624
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10218 Issued in WY
Legal business name
SENIOR CITIZENS COUNCIL
Practice address
211 Smith St
Sheridan, WY 82801-3818
Phone
(307) 672-2240
Fax
(307) 674-9866
NPI assigned
Jun 1, 2012
Last updated
Jun 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Ms. Carmen Rideout
Title
Executive Director
Phone
(307) 672-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10218 WY Primary

Addresses

Primary practice location

211 Smith St
Sheridan, WY 82801-3818

Mailing address

211 Smith St
Sheridan, WY 82801-3818
Phone (307) 672-2240

Other identifiers 1

IdentifierTypeStateIssuer
109141700MedicaidWY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1265793624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SMITH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013818",
            "telephone_number": "307-672-2240",
            "fax_number": "307-674-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SMITH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013818",
            "telephone_number": "307-672-2240",
            "fax_number": "307-674-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CITIZENS COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "RIDEOUT",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-672-2240",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WY",
            "license": "10218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109141700",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.