NPIMap

Organization Active NPI

Star Valley Healthcare, Inc.

Doing business as Symbii Home Health

  • Home Health Agency
  • Afton, WY
National Provider Identifier
1073090585
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STAR VALLEY HEALTHCARE, INC.
Doing business as
Symbii Home Health
Practice address
770 S Washington St Ste B
Afton, WY 83110-5135
Phone
(307) 885-7583
Fax
(307) 885-7584
NPI assigned
Jul 26, 2018
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

770 S Washington St Ste B
Afton, WY 83110-5135

Mailing address

PO Box 607
Afton, WY 83110-0607
Phone (307) 885-7583

Other practice location 1

2620 Commercial Way Ste 40
Rock Springs, WY 82901-4723
Phone (307) 885-7583

Other names 1

  • Symbii Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181025000114 WY Part A Provider - Home Health Agency 9931452000 Practice locations: Afton, WY; Rock Springs, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073090585. Details of each certification follow.

Home health agency certification: CCN 537073

Legal name
STAR VALLEY HEALTHCARE, INC.
Doing business as
SYMBII HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 29, 2006
Last certification
Jan 10, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 24, 2018 in NV
Enrollment address
770 S Washington St
Ste B
Afton, WY 83110
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Symbii Home HealthCCN 537073 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 29, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2156221Symbii Home Health770 Washington St, Ste B, Afton, WY 83110Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Star Valley Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

625 S Washington St
Ste B
Afton, WY 83110
Phone (307) 885-7583

770 S Washington St
Ste 2
Afton, WY 83110
Phone (307) 885-7583

2620 Commercial Way
Ste 40
Rock Springs, WY 82901
Phone (307) 885-7583

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cornerstone Healthcare Inc Organization, Eagle, ID For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2018 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brent Guerisoli Individual Corporate DirectorDirector & Sole Board Member Jul 1, 2022
Prescott Hansen Individual W-2 Managing EmployeeAdministrator Dec 21, 2022
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
John J Gochnour Individual Corporate OfficerPresident Jul 11, 2024
Amber Tueller Individual Corporate OfficerSecretary Jul 11, 2024

Facilities with the same owner 141

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 141

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2018 Change of OwnershipThis provider was the buyer Signature Healthcare at HomeCCN 537073, WY, NPI 1225420193

Practitioners & affiliated clinicians

Affiliated clinicians 25

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1073090585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831100607",
            "telephone_number": "307-885-7583",
            "fax_number": "307-885-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 S WASHINGTON ST STE B",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831105135",
            "telephone_number": "307-885-7583",
            "fax_number": "307-885-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Commercial Way Ste 40",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829014723",
            "country_code": "US",
            "telephone_number": "307-885-7583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAR VALLEY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Symbii Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Afton, WY

Sources for this page

Verify at the official NPI Registry.