Active NPI
Alternative Elder Living, Inc.
Doing business as Green House Living for Sheridan
- Skilled Nursing Facility
- Sheridan, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133658400 | Medicaid | WY |
Other names 1
- Green House Living for Sheridan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Sheridan
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 20, 2012
- Medicare certification status
- Active
- Certified beds
- 48
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 5
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D2025716 | Green House Living for Sheridan | Certificate of waiver | Jun 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alternative Elder Living Inc | 5% Or Greater Direct Ownership Interest | May 1, 2007 | 100% |
| Operational/Managerial Control | May 1, 2007 | ||
| Kevin Kessner | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Cody Sinclair | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Jerry Davis | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Kimberlee D Williams | Corporate Director | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Sierra Dawn Gross | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Erin Oetken | Corporate Director | Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Managing Control - Governing Body | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Memorial Hospital of Sheridan County | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 20, 2025 | ||
| Richard Garber | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Brock Boedecker | Corporate Director | Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Managing Control - Governing Body | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Cathy Bealer | Operational/Managerial Control | Apr 5, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Catherine Wallick | Corporate Director | Jan 1, 2013 | |
| Operational/Managerial Control | Jan 1, 2013 | ||
| Managing Control - Governing Body | Jan 1, 2013 | ||
| Adp of the SNF | Jan 1, 2013 | ||
| Dawn Morgan | Operational/Managerial Control | May 6, 2024 | |
| Managing Control - Governing Body | May 6, 2024 | ||
| Adp of the SNF | May 6, 2024 | ||
| Michael McCafferty | Operational/Managerial Control | May 6, 2024 | |
| Managing Control - Governing Body | May 6, 2024 | ||
| Adp of the SNF | May 6, 2024 | ||
| Shirley Coulter | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Tobie Alsup | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Nathan Stutte | Operational/Managerial Control | May 6, 2024 | |
| Managing Control - Governing Body | May 6, 2024 | ||
| Adp of the SNF | May 6, 2024 | ||
| Rosemary Rieder | Corporate Director | Jan 1, 2021 | |
| Operational/Managerial Control | Jan 1, 2021 | ||
| Managing Control - Governing Body | Jan 1, 2021 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| Allison Dawson | Operational/Managerial Control | May 6, 2024 | |
| Managing Control - Governing Body | May 6, 2024 | ||
| Adp of the SNF | May 6, 2024 | ||
| Jennifer Shassetz | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Tonya Carlson | Operational/Managerial Control | May 6, 2024 | |
| Managing Control - Governing Body | May 6, 2024 | ||
| Adp of the SNF | May 6, 2024 | ||
| Tenille Straley | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Elizabeth Maguire | Corporate Director | Jan 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Managing Control - Governing Body | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Ron Mischke | 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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Sheridan, WY
- NPI 1114589256
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
-
- Internal Medicine Physician
- Sheridan, WY
- NPI 1649698366
Adp of the SNF, Operational/Managerial Control
-
dba Sheridan Memorial Hospital Hospice
- Community Based Hospice Care Agency
- Sheridan, WY
- NPI 1144359423
Adp of the SNF, Operational/Managerial Control
-
- Medicare Defined Swing Bed Hospital Unit
- Sheridan, WY
- NPI 1184753261
Adp of the SNF, Operational/Managerial Control
-
dba Sheridan Memorial Hospital
- General Acute Care Hospital
- Sheridan, WY
- NPI 1487707188
Adp of the SNF, Operational/Managerial Control
-
dba Sheridan Memorial Hospital - Home Care
- Home Health Agency
- Sheridan, WY
- NPI 1851420939
Adp of the SNF, Operational/Managerial Control
-
- Family Nurse Practitioner
- Sheridan, WY
- NPI 1356696371
Adp of the SNF, Corporate Director, Managing Control - Governing Body, Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Medicare Defined Swing Bed Hospital Unit
- Sheridan, WY
- NPI 1184753261
Memorial Hospital of Sheridan County
-
dba Sheridan Memorial Hospital
- General Acute Care Hospital
- Sheridan, WY
- NPI 1487707188
Memorial Hospital of Sheridan County
-
dba Sheridan Memorial Hospital - Home Care
- Home Health Agency
- Sheridan, WY
- NPI 1851420939
Memorial Hospital of Sheridan County
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.
-
- Clinical Social Worker
- Sheridan, WY
- NPI 1306806955
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Sheridan, WY
- NPI 1114589256
-
- Internal Medicine Physician
- Sheridan, WY
- NPI 1265963698
-
- Internal Medicine Physician
- Sheridan, WY
- NPI 1942590054
-
- Internal Medicine Physician
- Sheridan, WY
- NPI 1639142508
-
- Gerontology Nurse Practitioner
- Byron Center, MI
- NPI 1487308904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.