Sheridan Manor

LBN: Ssc Sheridan Operating Company Llc
Sheridan Manor is an health care organization with primary practice located at 1851 Big Horn Ave , Sheridan WY 82801-5913. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ssc Sheridan Operating Company Llc can be contacted via phone (307) 674-4416, or through Simons, Thomas P. via phone (678) 443-6827.

Contact Information

Primary practice address
1851 Big Horn Ave Sheridan WY 82801-5913
Phone: (307) 674-4416
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simons, Thomas P.
Phone: (678) 443-6827

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 07143 Wyoming

Profile Details

NPI number 1184745457
LBN Legal business name Ssc Sheridan Operating Company Llc
DBA Doing business as Sheridan Manor
Authorized official Simons, Thomas P.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Nov 17th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184745457 NPPES
Wyoming Other 0107452100WY PREVIOUS MEDICAID NUMBER
Wyoming MEDICAID 120857800 PREVIOUS MEDICAID NUMBER

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