Bishop Sugarland Ridge Lessee LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BISHOP SUGARLAND RIDGE LESSEE LLC

Practice address

1551 Sugarland Dr
Sheridan, WY 82801-5721

Phone

(307) 674-5575

Fax

(307) 674-8070

NPI assigned

Sep 20, 2018

Organization subpart

No

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

Authorized official

Name

Tracey Gamble

Title

Vice President

Phone

(212) 472-4067

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Cascades of Sugarland Ridge Doing business as
• Elmcroft of Sugarland Ridge Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1396229787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 MEADOWS RD STE 500",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358646",
            "telephone_number": "971-254-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 SUGARLAND DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015721",
            "telephone_number": "307-674-5575",
            "fax_number": "307-674-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHOP SUGARLAND RIDGE LESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "212-472-4067"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascades of Sugarland Ridge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elmcroft of Sugarland Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Sheridan, WY
• Providers in Sheridan, 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 Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.