NPI 1467166645

Granite Snf Operations, LLC

Organisation Skilled Nursing Facility Cheyenne, WY

Practice location

Address: 3128 Boxelder Dr, Cheyenne, WY 82001-5808
Phone: (307) 634-7901
Fax: (307) 634-7910
Mailing address: 4601 NE 77th Ave STE 300, Vancouver, WA 98662-6736

Authorised official

Name: Yitzchok Yenowitz
Title: Authorized Representative
Phone: (732) 769-8877

Registered specialties (5)

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Registered Respiratory Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 227900000X

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Registry record

NPI: 1467166645
Entity type: Organization
NPI issued: 11 Jan 2023
Record last updated: 15 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.