SHERIDAN SENIOR LIVING, LLC (NPI# 1962679175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962679175 |
| Entity Type | Organization |
| Organization Name | SHERIDAN SENIOR LIVING, LLC |
| Other Organization Name | SUGARLAND RIDGE SENIOR LIVING COMMUNITY |
| Practice Address |
1551 Sugarland Dr Sheridan WY 82801 |
| Mailing Address |
3723 Fairview Industrial Dr Se Salem OR 97302 |
| Practice Telephone | 3076745575 |
| Practice Fax Number | 5034851279 |
| Mailing Telephone | 5033759016 |
| Mailing Fax Number | 5034851279 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2009-10-19 |
| Authorized Official Name | SHIRLEY DUNN (CRO REPRESENTATIVE) |
| Authorized Official Telephone | 5034854948 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | 10235 | WY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 126323400 | 05 |
| Other Name | Type Code |
|---|---|
| Sugarland Ridge Senior Living Community | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SHERIDAN SENIOR LIVING, LLC | 2735 12th St Se, Salem, OR 97302 |
| Street Address |
1551 SUGARLAND DR |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396229787 | Bishop Sugarland Ridge Lessee LLC | Assisted Living Facility | 1551 Sugarland Dr, Sheridan, WY 82801-5721 | 2018-09-20 |
| 1881908234 | Emeritus Corporation | Case Management | 1551 Sugarland Dr, Sheridan, WY 82801-5721 | 2010-07-27 |
| 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 | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427171461 | Crown Point Retirement Center LLC | Assisted Living Facility | 510 S Rose St, Sheridan, AR 72150-7076 | 2007-04-06 |
| 1396229787 | Bishop Sugarland Ridge Lessee LLC | Assisted Living Facility | 1551 Sugarland Dr, Sheridan, WY 82801-5721 | 2018-09-20 |
| 1376660167 | Deer Meadow LLC | Assisted Living Facility | 1350 W Main St, Sheridan, OR 97378-6052 | 2007-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578035440 | Casper Independent Living, LLC | Assisted Living Facility | 77 Gardenia St, Casper, WY 82604-3803 | 2018-12-17 |
| 1437659877 | Mountain Lodge LLC | Assisted Living Facility | 1110 Birch St, Douglas, WY 82633-2761 | 2018-02-12 |
| 1457890659 | Beyond Home Living, LLC | Assisted Living Facility | 153 Doyle Child Circle, Afton, WY 83110 | 2017-02-21 |
| 1730570128 | Elder Care Inc | Assisted Living Facility | 682 N Main St, Buffalo, WY 82834-1736 | 2015-02-07 |
| 1538581137 | Dubois Assisted Living, Inc | Assisted Living Facility | 5643 Us Highway 26, Dubois, WY 82513-1839 | 2014-01-16 |
| 1184811143 | Jackson Hole Senior Living, LLC | Assisted Living Facility | 3000 W Big Trail Dr, Jackson Hole, WY 83001-9138 | 2007-10-03 |
| 1750588851 | Legacy Home Assisted Living | Assisted Living Facility | 2391 Muddy String Co. Road 122, Thayne, WY 83127 | 2007-07-02 |
| 1932327517 | Cody Senior Living, LLC | Assisted Living Facility | 2401 Cougar Ave, Cody, WY 82414-8499 | 2007-04-22 |
| 1346360377 | Aspen Wind Assisted Living Community, LLC | Assisted Living Facility | 4010 N College Dr, Cheyenne, WY 82001-1960 | 2007-03-31 |
| 1467585034 | Park Place Assisted Living LLC | Assisted Living Facility | 1930 E 12th St, Casper, WY 82601-4075 | 2007-03-13 |
| 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.