Organization Active NPI

Osi Jackson Hole, LLC

Doing business as MorningStar of Jackson Hole

  • Case Management Agency
  • Jackson, WY
National Provider Identifier
1639567449
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OSI JACKSON HOLE, LLC
Doing business as
MorningStar of Jackson Hole
Practice address
3000 W Big Trail Dr
Jackson, WY 83001-9138
Phone
(307) 734-0500
NPI assigned
Dec 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Mr. Matthew Turner
Title
Manager
Phone
(303) 750-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3000 W Big Trail Dr
Jackson, WY 83001-9138

Mailing address

7555 E Hampden Ave Ste 501
Denver, CO 80231-4836

Other names 1

  • MorningStar of Jackson Hole Doing business as

National Provider Directory

National Provider Directory

Locations

7555 E Hampden Ave
Ste 501
Denver, CO 80231

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1639567449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 E HAMPDEN AVE STE 501",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314836"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSI JACKSON HOLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-750-5522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MorningStar of Jackson Hole",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.