EDWARD MICHAEL TUCKER JILOA
NPI 1366108425
Substance Abuse Rehabilitation Facility in Douglas, WY

Q: What is Jciloa's NPI number?

The NPI number for Jciloa is 1366108425. It was assigned to this organization in the NPPES registry on November 12, 2021. The provider is doing business as Edward Michael Tucker Jiloa.

Q: What is Jciloa's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for Jciloa was last updated on July 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 12, 2021

1000 ERWIN ST, DOUGLAS, WY 82633(307) 331-3703 Get Directions Write a Review

NPPES record last updated: July 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2022, May 28, 2022, Jan 13, 2022 and 1 more (4 updates tracked since 2021).

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About Edward Michael Tucker Jiloa NPPES

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

EDWARD MICHAEL TUCKER JILOA (NPI 1366108425) is a healthcare organization registered as a substance abuse rehabilitation facility in Douglas, Wyoming and active in the NPI registry since November 2021. The organization lists Edward Michael Tucker, Owner, as its authorized official.

NPPES Registry Identity

NPI1366108425

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameJCILOA

Location Address1000 ERWIN STDouglas, WY 82633-2914

Mailing Address1000 Erwin StDouglas, WY 82633-2914 · (307) 331-3703

Phone(307) 331-3703

Organization SubpartNo

Authorized OfficialEdward Michael TuckerOwner · (307) 331-3703

Enumeration DateNovember 12, 2021

Last NPPES UpdateJuly 2, 20224 updates tracked since enumeration

NPPES CertifiedJuly 2, 2022

✔ NPI 1366108425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

1000 ERWIN ST, Douglas, WY 82633

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Other Names 1

Doing Business AsEdward Michael Tucker Jiloa

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 Jciloa's NPI number?

The NPI number for Jciloa is 1366108425. It was assigned to this organization in the NPPES registry on November 12, 2021. The provider is doing business as Edward Michael Tucker Jiloa.

Where is Jciloa located?

Jciloa is located at 1000 Erwin St, Douglas, WY 82633. The listed phone number is (307) 331-3703.

What is Jciloa's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Jciloa was last updated on July 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.