Senior Center of Jackson Hole, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SENIOR CENTER OF JACKSON HOLE, INC.

Practice address

830 E Hansen Ave
Jackson, WY 83001-8791

Phone

(307) 733-7300

NPI assigned

May 22, 2015

Organization subpart

No

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

Authorized official

Name

Becky Zaist

Title

Executive Director

Phone

(307) 733-7300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1770962706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E HANSEN AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018791",
            "telephone_number": "307-733-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E HANSEN AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018791",
            "telephone_number": "307-733-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CENTER OF JACKSON HOLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "ZAIST",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-733-7300"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "110532900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Schroeder Surgical Assisting LLC
• Christopher Philip Schroeder, SA-C
• Mark Schultheis, P.T., S.C.S.C.
• Joanne Scott, RN
• Cara Anne Sengebush
• Krista Jo Sgroi, NP
• Laura Hillary Shaw
• Caitlin Shea, FNP-C
• Cassidy Sheridan
• Theodore Weber Shoaf, MASTERS

• Case Management Agency in Jackson, WY
• Providers in Jackson, WY by specialty
• Case Management Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.