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EMG CHEYENNE AW LLC
NPI 1154652220
Assisted Living Facility in Cheyenne, WY

Active since January 28, 2010CLIA 53D2195190 · Waiver
4010 N COLLEGE DR, CHEYENNE, WY 82001(701) 738-2000(701) 757-4701 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Emg Cheyenne Aw Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMG CHEYENNE AW LLC (NPI 1154652220) is a healthcare organization registered as an assisted living facility in Cheyenne, Wyoming and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through October 6, 2026 and lists Philip Gisi, Presiding Member, as its authorized official.

NPPES Registry Identity

NPI1154652220
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMG CHEYENNE AW LLC
Location Address4010 N COLLEGE DRCheyenne, WY 82001-1960
Mailing Address2850 24th Ave S, Ste 201Grand Forks, ND 58201-5831 · (701) 738-2000 · Fax (701) 757-4701
Phone(701) 738-2000
Fax(701) 757-4701
Organization SubpartNo
Authorized OfficialPhilip GisiPresiding Member · (701) 741-6230
Enumeration DateJanuary 28, 2010
✔ NPI 1154652220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
4010 N COLLEGE DR, Cheyenne, WY 82001
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D2195190

Emg Cheyenne Aw LLC · Cheyenne, WY
Active · expires Oct 6, 2026
CLIA Number53D2195190
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorSarah Sorenson
Laboratory Phone(307) 778-9511
Laboratory LocationEmg Cheyenne Aw LLC4010 N College Dr, Cheyenne, WY 82001
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASPEN WIND ASSISTED LIVING COMMUNITY, LLC
Assisted Living Facility
4010 N COLLEGE DR
CHEYENNE, WY 82001
Laramie County (307) 778-9511
LSREF GOLDEN OPS 14 (WY) LLC
Assisted Living Facility
4010 N COLLEGE DR
CHEYENNE, WY 82001
Laramie County (307) 778-9511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emg Cheyenne Aw LLC's NPI number?

The NPI number for Emg Cheyenne Aw LLC is 1154652220. It was assigned to this organization in the NPPES registry on January 28, 2010.

Where is Emg Cheyenne Aw LLC located?

Emg Cheyenne Aw LLC is located at 4010 N College Dr, Cheyenne, WY 82001. The listed phone number is (701) 738-2000.

What is Emg Cheyenne Aw LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Emg Cheyenne Aw LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2195190) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emg Cheyenne Aw LLC was last updated on January 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.