Organization · Type 2 NPI

Granite SNF Operations, LLC

Skilled Nursing Facility · Cheyenne, WY

NPI number 1467166645 Active

Practice location

3128 Boxelder Dr
Cheyenne, WY 82001-5808

Call (307) 634-7901 Map

Fax (307) 634-7910

Mailing address

4601 NE 77th Ave Ste 300
Vancouver, WA 98662-6736

Specialties and licenses

Taxonomy	Code	License
Physical Therapist	225100000X	None listed
Occupational Therapist	225X00000X	None listed
Registered Respiratory Therapist	227900000X	None listed
Speech-Language Pathologist	235Z00000X	None listed
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

15 other providers at this address

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NPI record

NPI: 1467166645
Entity type: Organization (Type 2)
Issued: Jan 11, 2023
Last updated: Oct 15, 2025
Status: Active

Other names

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Granite Rehabilitation and Wellness · doing business as
Granite Rehabilitation and Wellness · doing business as

Authorized official

Yitzchok Yenowitz
Authorized Representative
(732) 769-8877

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467166645

Granite SNF Operations, LLC's National Provider Identifier is 1467166645, issued on Jan 11, 2023. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Cheyenne, WY. The record was last updated on Oct 15, 2025.