Jackson Hole Senior Living, LLC
NPI 1184811143 · Assisted Living Facility · Jackson Hole, WY
Jackson Hole Senior Living, LLC is a Assisted Living Facility organization in Jackson Hole, WY (NPI 1184811143).
Provider details
- NPI number
- 1184811143
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Harder, Manager(503) 375-9016
- License
- 08-035 (WY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- River Rock Lodge Assisted Living Community
Registry dates
- Enumerated
- 2007-10-03
- Last updated
- 2007-10-03
Frequently asked questions
- What is Jackson Hole Senior Living, LLC's NPI number?
- Jackson Hole Senior Living, LLC's National Provider Identifier (NPI) is 1184811143, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Hole Senior Living, LLC?
- Jackson Hole Senior Living, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Jackson Hole Senior Living, LLC located?
- Jackson Hole Senior Living, LLC's practice location on file with NPPES is 3000 W Big Trail Dr, Jackson Hole, WY 83001-9138.
- What is Jackson Hole Senior Living, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Hole Senior Living, LLC is (307) 734-0500.
- Who is the authorized official for Jackson Hole Senior Living, LLC?
- The authorized official listed on Jackson Hole Senior Living, LLC's NPPES record is Jon Harder, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Hole Senior Living, LLC's NPI active?
- Yes — Jackson Hole Senior Living, LLC's NPI (1184811143) is active in the NPPES registry as of the last update on 2007-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.