Steamboat Healthcare LLC

Organization Active NPI Home Health Agency · Gillette, WY

NPI 1083597769 · NPPES record last updated Aug 20, 2025

Key facts

NPI
1083597769
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
STEAMBOAT HEALTHCARE LLC
Practice address
902 E 3Rd St
Gillette, WY 82716-4023
Phone
(307) 756-9200
NPI assigned
Jul 29, 2025
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 1

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

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Facilities with the same owner 141

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

View all 141

Affiliated clinicians 14

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

Medicare Care Compare: Home health agency

Listed as
Healing Hearts Home Health CCN 537085
Overall star rating
★★★☆☆ 2.5 of 5
Ownership
Proprietary
Certified
Nov 8, 2018
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2149290Steamboat Healthcare LLC
902 East 3Rd Street, Gillette, WY 82716
Certificate of waiverMay 29, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WY

Home health agency certification: CCN 537085

Legal name
STEAMBOAT HEALTHCARE LLC
Doing business as
HEALING HEARTS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 8, 2018
Last certification
Nov 8, 2018
Ownership / control type
Proprietary
Organization structure
LLC · Proprietary
Enrollment address
902 E 3Rd St
Gillette, WY 82716-4023

All disclosed owners & managing parties 8

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
Corporation, For-profit, Owned by another organization or individual
5% Or Greater Direct Ownership Interest Sep 1, 2025 100%
Brent Mills
Individual
Corporate Officer
Treasurer
Mar 26, 2026
Brent Guerisoli
Individual
Corporate Officer
Director
Sep 1, 2025
Prescott Hansen
Individual
W-2 Managing Employee
Ad;
Sep 1, 2025
The Pennant Group Inc
Organization · Eagle, ID
Corporation, For-profit
5% Or Greater Indirect Ownership Interest Sep 1, 2025 100%
John J Gochnour
Individual
Corporate Officer
Manager/President
Sep 1, 2025
Amber Tueller
Individual
Corporate Officer
Secretary
Sep 1, 2025
Elliot McMillan
Individual
Corporate Officer
Vice President
Sep 1, 2025

Change-of-ownership history

DateEventCounterparty
Sep 1, 2025 Change of Ownership
This provider was the buyer
Healing Hearts Home Health
CCN 537085 · WY · NPI 1336661933

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20251023000710 WY Part a Provider - Home Health Agency 9537657390 Practice locations: Gillette, WY

National Provider Directory

Tax ID family
Power Basin Healthcare LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

902 E 3Rd St
Gillette, WY 82716-4023

Mailing address

902 E 3Rd St
Gillette, WY 82716-4023
Phone (307) 756-9200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 20, 2025.

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1083597769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E 3RD ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164023",
            "telephone_number": "307-756-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E 3RD ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164023",
            "telephone_number": "307-756-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEAMBOAT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

All providers in Gillette, WY · Home Health Agency in Wyoming

Sources for this page

Verify at the official NPI Registry.