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MOUNTAIN LODGE LLC
NPI 1437659877
Assisted Living Facility in Douglas, WY

Active since February 12, 2018
1110 BIRCH ST, DOUGLAS, WY 82633(307) 358-1897 Get Directions Write a Review

NPPES record last updated: February 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain Lodge Llc NPPES

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

MOUNTAIN LODGE LLC (NPI 1437659877) is a healthcare organization registered as an assisted living facility in Douglas, Wyoming and active in the NPI registry since February 2018. The organization lists R Joseph Rude, President, as its authorized official.

NPPES Registry Identity

NPI1437659877
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMOUNTAIN LODGE LLC
Location Address1110 BIRCH STDouglas, WY 82633-2761
Mailing Address1110 Birch StDouglas, WY 82633-2761 · (307) 358-1897
Phone(307) 358-1897
Organization SubpartNo
Authorized OfficialR Joseph RudePresident · (406) 655-1883
Enumeration DateFebruary 12, 2018
✔ NPI 1437659877 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.
1110 BIRCH ST, Douglas, WY 82633
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Other Providers at the Same Location NPPES

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

ROCKY MOUNTAIN CARE - SUMMIT RIDGE ASSISTED LIVING FACILITY OC LLC
Assisted Living Facility
1110 BIRCH ST
DOUGLAS, WY 82633
Converse County (307) 358-1897

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 Mountain Lodge LLC's NPI number?

The NPI number for Mountain Lodge LLC is 1437659877. It was assigned to this organization in the NPPES registry on February 12, 2018.

Where is Mountain Lodge LLC located?

Mountain Lodge LLC is located at 1110 Birch St, Douglas, WY 82633. The listed phone number is (307) 358-1897.

What is Mountain Lodge LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mountain Lodge LLC was last updated on February 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.