Sheridan Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10235 Issued in WY

Legal business name

SHERIDAN SENIOR LIVING, LLC

Practice address

1551 Sugarland Dr
Sheridan, WY 82801

Phone

(307) 674-5575

Fax

(503) 485-1279

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Shirley Dunn

Title

Cro Representative

Phone

(503) 485-4948

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sugarland Ridge Senior Living Community Doing business as

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1962679175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 FAIRVIEW INDUSTRIAL DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-375-9016",
            "fax_number": "503-485-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 SUGARLAND DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "307-674-5575",
            "fax_number": "503-485-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CRO REPRESENTATIVE",
        "authorized_official_telephone_number": "503-485-4948"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WY",
            "license": "10235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126323400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugarland Ridge Senior Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheridan Orthopaedic Associates, P C
• Sheridan Pathology Associates PC
• Sheridan Peak Wellness
• Sheridan Podiatry LLC
• Sheridan Radiology, LLC
• Sheridan Surgical Center, LLC
• Sheridan Surgical Center, LLC
• Sheridan Vamc
• Sheridan Vamc
• Sheridan Women'S Health P.C.

• 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 Oct 19, 2009; 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.