Organization Active NPI

Alternative Elder Living, Inc.

Doing business as Green House Living for Sheridan

  • Skilled Nursing Facility
  • Sheridan, WY
National Provider Identifier
1396034112
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ALTERNATIVE ELDER LIVING, INC.
Doing business as
Green House Living for Sheridan
Practice address
2311 Shirley CV
Sheridan, WY 82801-8306
Phone
(307) 672-0600
NPI assigned
Apr 1, 2011
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Regina Pearson
Title
Provider Enrollment Specialist
Phone
(307) 675-4668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2311 Shirley CV
Sheridan, WY 82801-8306

Mailing address

2311 Shirley CV
Sheridan, WY 82801-8306
Phone (307) 672-0600

Other identifiers 1

IdentifierTypeStateIssuer
133658400MedicaidWY

Other names 1

  • Green House Living for Sheridan Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110628000874 WY Part A Provider - Skilled Nursing Facility 0244418945 Practice locations: Sheridan, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396034112. Details of each certification follow.

Skilled nursing facility certification: CCN 535054

Legal name
ALTERNATIVE ELDER LIVING INC
Doing business as
GREEN HOUSE LIVING FOR SHERIDAN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 20, 2012
Last certification
Mar 13, 2025
Beds
48
Ownership / control type
Corporation
Organization structure
CorporationNon-profit
Incorporated
May 1, 2007 in WY
Enrollment address
2311 Shirley CV
Sheridan, WY 82801-8306
Nursing home name
GREEN HOUSE LIVING FOR SHERIDAN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Green House Living for SheridanCCN 535054 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 20, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4835.5 residents per day on average
Special focus status
SFF Candidate
Penalties (3 years)
5Fines totaling $61,929

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2025716Green House Living for Sheridan2311 Shirley Cove, Sheridan, WY 82801Certificate of waiverJun 14, 2027

National Provider Directory

National Provider Directory

Locations

2311 Shirley Cv
Sheridan, WY 82801
Phone (307) 672-0600

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alternative Elder Living Inc Organization, Sheridan, WY Corporation, Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest May 1, 2007 100%
Operational/Managerial Control May 1, 2007
Kevin Kessner Individual Operational/Managerial Control May 6, 2024
Adp of the SNF May 6, 2024
Cody Sinclair Individual Operational/Managerial Control May 6, 2024
Adp of the SNF May 6, 2024
Jerry Davis Individual Operational/Managerial Control May 6, 2024
Adp of the SNF May 6, 2024
Kimberlee D Williams Individual Corporate DirectorSNF Board Member Jan 1, 2023
Operational/Managerial Control Jan 1, 2023
Managing Control - Governing BodySNF Board of Director Member Jan 1, 2023
Adp of the SNF Jan 1, 2023
Sierra Dawn Gross Individual Operational/Managerial Control May 6, 2024
Adp of the SNF May 6, 2024
Erin Oetken Individual Corporate DirectorBoard Member Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Managing Control - Governing BodyBoard Member Jan 1, 2024
Adp of the SNF Jan 1, 2024
Memorial Hospital of Sheridan County Organization, Sheridan, WY Medical provider/supplier, Non-profit Operational/Managerial Control May 6, 2024
Adp of the SNF May 20, 2025
Richard Garber Individual Operational/Managerial Control May 6, 2024
Adp of the SNF May 6, 2024
Brock Boedecker Individual Corporate DirectorPresident Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Managing Control - Governing BodyPresident Jan 1, 2024
Adp of the SNF Jan 1, 2024
Cathy Bealer Individual Operational/Managerial Control Apr 5, 2024
Adp of the SNF May 6, 2024
Catherine Wallick Individual Corporate DirectorSNF Board - Vice President Jan 1, 2013
Operational/Managerial Control Jan 1, 2013
Managing Control - Governing BodySNF Board - Vice President Jan 1, 2013
Adp of the SNF Jan 1, 2013
Dawn Morgan Individual Operational/Managerial Control May 6, 2024
Managing Control - Governing BodySNF Director of Nursing May 6, 2024
Adp of the SNF May 6, 2024
Michael McCafferty Individual Operational/Managerial Control May 6, 2024
Managing Control - Governing BodyChief Executive Officer May 6, 2024
Adp of the SNF May 6, 2024
Shirley Coulter Individual Operational/Managerial Control May 6, 2024
Adp of the SNF May 6, 2024
Tobie Alsup Individual Operational/Managerial Control May 6, 2024
Adp of the SNF May 6, 2024
Nathan Stutte Individual Operational/Managerial Control May 6, 2024
Managing Control - Governing BodyChief Financial Officer May 6, 2024
Adp of the SNF May 6, 2024
Rosemary Rieder Individual Corporate DirectorSNF Board Director Secretary Jan 1, 2021
Operational/Managerial Control Jan 1, 2021
Managing Control - Governing BodySecretary Jan 1, 2021
Adp of the SNF Jan 1, 2021
Allison Dawson Individual Operational/Managerial Control May 6, 2024
Managing Control - Governing BodyMedical Director May 6, 2024
Adp of the SNF May 6, 2024
Jennifer Shassetz Individual Operational/Managerial Control May 6, 2024
Adp of the SNF May 6, 2024
Tonya Carlson Individual Operational/Managerial Control May 6, 2024
Managing Control - Governing BodyExecutive Director May 6, 2024
Adp of the SNF May 6, 2024
Tenille Straley Individual Operational/Managerial Control May 6, 2024
Adp of the SNF May 6, 2024
Elizabeth Maguire Individual Corporate DirectorSNF Board of Directors Treasurer Jan 1, 2022
Operational/Managerial Control Jan 1, 2022
Managing Control - Governing BodyTreasurer Jan 1, 2022
Adp of the SNF Jan 1, 2022
Ron Mischke Individual Operational/Managerial Control May 6, 2024
Adp of the SNF May 6, 2024

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 6

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": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1396034112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 SHIRLEY CV",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828018306",
            "telephone_number": "307-672-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 SHIRLEY CV",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828018306",
            "telephone_number": "307-672-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE ELDER LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "307-675-4668"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133658400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green House Living for Sheridan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Green House Living for Sheridan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.