Organization Active NPI

Emg Cheyenne SH LLC

  • Assisted Living Facility
  • Cheyenne, WY
National Provider Identifier
1972834042
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EMG CHEYENNE SH LLC
Practice address
4606 N College Dr
Cheyenne, WY 82009-5456
Phone
(701) 738-2000
Fax
(701) 757-4701
NPI assigned
Jan 28, 2010
Last updated
Jan 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Philip Gisi
Title
Presiding Member
Phone
(701) 741-6230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4606 N College Dr
Cheyenne, WY 82009-5456

Mailing address

2850 24TH Ave S
Ste 201
Grand Forks, ND 58201-5831
Phone (701) 738-2000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1972834042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 24TH AVE S",
            "address_2": "STE 201",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015831",
            "telephone_number": "701-738-2000",
            "fax_number": "701-757-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 N COLLEGE DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095456",
            "telephone_number": "701-738-2000",
            "fax_number": "701-757-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMG CHEYENNE SH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "GISI",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDING MEMBER",
        "authorized_official_telephone_number": "701-741-6230"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.