NPIMap

Organization Active NPI

Memorial Hospital of Sheridan County

Doing business as Sheridan Memorial Hospital - Home Care

  • Home Health Agency
  • Sheridan, WY
National Provider Identifier
1851420939
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
07199 Issued in WY
Legal business name
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
Doing business as
Sheridan Memorial Hospital - Home Care
Practice address
1401 W 5TH St
Sheridan, WY 82801-2705
Phone
(307) 672-1000
Fax
(307) 672-1174
NPI assigned
Mar 5, 2007
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Nathan Stutte
Title
Cfo
Phone
(307) 672-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 07199 WY Primary

Addresses

Primary practice location

1401 W 5TH St
Sheridan, WY 82801-2705

Mailing address

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

Other names 1

  • Sheridan Memorial Hospital - Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100803000352 WY Part A Provider - Home Health Agency 2163405440 Practice locations: Sheridan, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851420939. Details of each certification follow.

Home health agency certification: CCN 537038

Legal name
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 17, 1992
Last certification
Nov 16, 2017
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Enrollment address
1401 W 5TH St
Sheridan, WY 82801-2705
HHA Branch

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sheridan Memorial Hospital Home CareCCN 537038 · All quality measures
Overall star rating
3.5 of 5
Ownership
Government Operated
Certified
Mar 17, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hosp Sheridan4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Memorial Hospital of Sheridan County Organization, Sheridan, WY 5% Or Greater Direct Ownership Interest May 17, 2010
Michael McCafferty Individual Corporate OfficerChief Executive Officer Mar 22, 2007
W-2 Managing EmployeeCeo Mar 22, 2007
Nathan Stutte Individual Corporate OfficerChief Financial Officer Jul 1, 2015
W-2 Managing EmployeeCfo Jul 1, 2015 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sheridan Memorial HospitalSheridan, WY, CCN 530006 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Sheridan Memorial HospitalSheridan, WY, CCN 53U006 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1968
Green House Living for SheridanSheridan, WY, CCN 535054 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 6, 2024
May 20, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1851420939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012705",
            "telephone_number": "307-672-1000",
            "fax_number": "307-672-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012705",
            "telephone_number": "307-672-1000",
            "fax_number": "307-672-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF SHERIDAN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "STUTTE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-672-1000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WY",
            "license": "07199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheridan Memorial Hospital - Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.