SSC SHERIDAN OPERATING COMPANY LLC (NPI# 1184745457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184745457 |
| Entity Type | Organization |
| Organization Name | SSC SHERIDAN OPERATING COMPANY LLC |
| Other Organization Name | SHERIDAN MANOR |
| Practice Address |
1851 Big Horn Ave Sheridan WY 82801-5913 |
| Mailing Address |
5300 W Sam Houston Pkwy N Suite 100 Houston TX 77041-5161 |
| Practice Telephone | 3076744416 |
| Mailing Telephone | 8324676000 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2013-08-01 |
| Authorized Official Name | THOMAS P. SIMONS (SENIOR VP OPERATIONS FINANCE) |
| Authorized Official Telephone | 6784436827 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 07143 | WY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | PREVIOUS MEDICAID NUMBER | 0107452100WY | 01 |
| WY | 120857800 | 05 |
| Other Name | Type Code |
|---|---|
| Sheridan Manor | Doing Business As Name - Organization |
| Street Address |
1851 BIG HORN AVE |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-5913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621697 | Gracie Morgan | Physical Therapy Assistant | 1851 Big Horn Ave, Sheridan, WY 82801 | 2020-05-28 |
| 1831673136 | Ashley Marie Whyard | Occupational Therapist | 1851 Big Horn Ave, Sheridan, WY 82801-5913 | 2018-09-21 |
| 1518498096 | Taylor Robertson | Nurse's Aide | 1851 Big Horn Ave, Sheridan, WY 82801-5913 | 2017-03-25 |
| 1447450168 | Tawnya Marie Hawbaker | Registered Nurse | 1851 Big Horn Ave, Sheridan, WY 82801-5913 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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| 1083771679 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1990 W Loucks St, Sheridan, WY 82801-4500 | 2007-01-02 |
| 1609819572 | Daviess County Hospital | Skilled Nursing Facility | 803 S Hamilton St, Sheridan, IN 46069-1415 | 2006-06-14 |
| 1134160989 | Madison County Finance | Skilled Nursing Facility | 326 Madison St, Sheridan, MT 59749-9636 | 2006-06-10 |
| 1033107610 | Diversicare Leasing Corp. | Skilled Nursing Facility | 113 S Briarwood Dr, Sheridan, AR 72150-8417 | 2005-10-08 |
| 1972964831 | Westview Operations, LLC | Skilled Nursing Facility | 1990 W Loucks St, Sheridan, WY 82801-4500 | 2016-03-18 |
| 1396129060 | Grant Snf Operations LLC | Skilled Nursing Facility | 113 S Briarwood Dr, Sheridan, AR 72150-8417 | 2015-07-13 |
| 1255764676 | Grant Operations, LLC | Skilled Nursing Facility | 113 S Briarwood Dr, Sheridan, AR 72150-8417 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337990 | State of Wyoming | Skilled Nursing Facility | 8204 Wyoming Highway 789, Lander, WY 82520-2941 | 2020-05-13 |
| 1194105684 | Saratoga Care Center, LLC | Skilled Nursing Facility | 207 Holly Avenue, Saratoga, WY 82331-0630 | 2015-06-01 |
| 1104169945 | Ekstroms Nursing, LLC | Skilled Nursing Facility | 111 Lewis Rd, Gillette, WY 82718-8847 | 2013-03-29 |
| 1962746222 | Deseret Health and Rehab At Rock Springs LLC | Skilled Nursing Facility | 1325 Sage St, Rock Springs, WY 82901-7478 | 2012-11-26 |
| 1649567710 | Opsal Nursing, LLC | Skilled Nursing Facility | 1906 Harvest Moon Dr, Gillette, WY 82718-7878 | 2011-07-08 |
| 1700907029 | Ssc Casper Operating Company LLC | Skilled Nursing Facility | 4305 S Poplar St, Casper, WY 82601-6106 | 2007-04-03 |
| 1134275175 | Castle Rock Special Hospital District | Skilled Nursing Facility | 1445 Uinta Dr, Green River, WY 82935-5004 | 2007-01-25 |
| 1104984376 | Thermopolis Health Care, Inc | Skilled Nursing Facility | 1210 Canyon Hills Rd, Thermopolis, WY 82443-3137 | 2006-12-04 |
| 1851481634 | Morning Star Care Center | Skilled Nursing Facility | 4 North Fork Rd, Fort Washakie, WY 82514-0859 | 2006-10-13 |
| 1467540070 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 4041 S Poplar St, Casper, WY 82601-5928 | 2006-10-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.