LEGACY LODGE AT JACKSON HOLE, INC.
NPI 1760927453
Assisted Living Facility in Jackson, WY

Q: What is Legacy Lodge At Jackson Hole, Inc.'s NPI number?

The NPI number for Legacy Lodge At Jackson Hole, Inc. is 1760927453. It was assigned to this organization in the NPPES registry on January 4, 2017.

Q: What is Legacy Lodge At Jackson Hole, Inc.'s specialty?

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

Active since January 04, 2017

3000 W BIG TRAIL DR, JACKSON, WY 83001(307) 734-0500 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Legacy Lodge At Jackson Hole, Inc. NPPES

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

LEGACY LODGE AT JACKSON HOLE, INC. (NPI 1760927453) is a healthcare organization registered as an assisted living facility in Jackson, Wyoming and active in the NPI registry since January 2017. The organization lists Jason Harnisch, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1760927453

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameLEGACY LODGE AT JACKSON HOLE, INC.

Location Address3000 W BIG TRAIL DRJackson, WY 83001-9138

Mailing Address2230 N Somers AveFremont, NE 68025-2515

Phone(307) 734-0500

Organization SubpartNo

Authorized OfficialJason HarnischVp Of Finance · (402) 753-6101

Enumeration DateJanuary 4, 2017

✔ NPI 1760927453 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.

3000 W BIG TRAIL DR, Jackson, WY 83001

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Other Identifiers 1

MedicaidPENDINGWY

Other Providers at the Same Location NPPES 3

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

JACKSON HOLE SENIOR LIVING, LLC

Assisted Living Facility

3000 W BIG TRAIL DR
JACKSON HOLE, WY 83001

Teton County (307) 734-0500

OXFORD, JACKSON, RIVER ROCK

Assisted Living Facility

3000 W BIG TRAIL DR
JACKSON, WY 83001

Teton County (307) 734-0500

OSI JACKSON HOLE, LLC

Case Management

3000 W BIG TRAIL DR
JACKSON, WY 83001

Teton County (307) 734-0500

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 Legacy Lodge At Jackson Hole, Inc.'s NPI number?

The NPI number for Legacy Lodge At Jackson Hole, Inc. is 1760927453. It was assigned to this organization in the NPPES registry on January 4, 2017.

Where is Legacy Lodge At Jackson Hole, Inc. located?

Legacy Lodge At Jackson Hole, Inc. is located at 3000 W Big Trail Dr, Jackson, WY 83001. The listed phone number is (307) 734-0500.

What is Legacy Lodge At Jackson Hole, Inc.'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 Legacy Lodge At Jackson Hole, Inc. was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.