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Legacy Lodge at Jackson Hole, Inc.

Assisted Living Facility in Jackson, WY · enumerated 2017 · authorized official Jason Harnisch, Vp of Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760927453

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Registry record

Entity type Organization (Type 2)
Legal business name Legacy Lodge at Jackson Hole, Inc.
Practice address 3000 W Big Trail Dr, Jackson, WY, 83001
Phone (307) 734-0500
Enumeration date Jan 4, 2017
Last updated in NPPES Jan 4, 2017

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Jason Harnisch
Title Vp of Finance
Phone (402) 753-6101

Other identifiers

Identifier Type State Issuer
PENDING Medicaid WY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Legacy Lodge at Jackson Hole, Inc.?
NPPES lists Jason Harnisch (Vp of Finance) as the authorized official for this organization.
What is the NPI number for Legacy Lodge at Jackson Hole, Inc.?
The NPI for Legacy Lodge at Jackson Hole, Inc. is 1760927453, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-04.