Oxford, Jackson, River Rock

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10336 Issued in WY

Legal business name

OXFORD, JACKSON, RIVER ROCK

Doing business as

River Rock Assisted Living

Practice address

3000 W Big Trail Dr
Jackson, WY 83001-9138

Phone

(307) 734-0500

Fax

(307) 732-7275

NPI assigned

Nov 22, 2010

Last updated

Jan 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason Harnisch

Title

Controller

Phone

(402) 753-6101

Specialties & licenses 1

Addresses

Other names 1

• River Rock Assisted Living Doing business as

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1518269653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W BIG TRAIL DR",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019138",
            "telephone_number": "307-734-0500",
            "fax_number": "307-732-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W BIG TRAIL DR",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019138",
            "telephone_number": "307-734-0500",
            "fax_number": "307-732-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD, JACKSON, RIVER ROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "HARNISCH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "402-753-6101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WY",
            "license": "10336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Rock Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Jackson, WY
• Providers in Jackson, 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 14, 2013; 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.