OrganizationActive
Jciloa
NPI 1366108425 · Substance Abuse Rehabilitation Facility · Douglas, WY
Provider details
- NPI number
- 1366108425
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Edward Tucker, Owner(307) 331-3703
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1000 Erwin St
Douglas, WY 82633-2914
Phone: (307) 331-3703
Street-level locationGet directions
Mailing address
1000 Erwin St
Douglas, WY 82633-2914
Other names (DBA / former)
- Doing business as
- Edward Michael Tucker Jiloa
Registry dates
- Enumerated
- 2021-11-12
- Last updated
- 2022-07-02
- Certified
- 2022-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.