NPIMap

Organization Active NPI

North Big Horn Hospital District

Doing business as Rocky Mountain Care - Summit Ridge Skilled Nursing & Rehabilitation

  • Skilled Nursing Facility
  • Douglas, WY
National Provider Identifier
1285523639
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTH BIG HORN HOSPITAL DISTRICT
Doing business as
Rocky Mountain Care - Summit Ridge Skilled Nursing & Rehabilitation
Practice address
1108 Birch St
Douglas, WY 82633-2761
Phone
(307) 358-3397
NPI assigned
Jul 1, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Eric Shumway Connell
Title
Ceo
Phone
(307) 548-5203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1108 Birch St
Douglas, WY 82633-2761

Mailing address

1108 Birch St
Douglas, WY 82633-2761
Phone (307) 358-3397

Other names 1

  • Rocky Mountain Care - Summit Ridge Skilled Nursing & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251111002326 WY Part A Provider - Skilled Nursing Facility 1456269869 Practice locations: Douglas, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285523639. Details of each certification follow.

Skilled nursing facility certification: CCN 535040

Legal name
NORTH BIG HORN HOSPITAL DISTRICT
Doing business as
SUMMIT RIDGE SKILLED NURSING & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1990
Last certification
Nov 15, 2024
Beds
60
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Sep 1, 2025
Organization structure
OtherNon-profit
Enrollment address
1108 Birch St
Douglas, WY 82633-2761
Nursing home name
SUMMIT RIDGE SKILLED NURSING & REHABILITATION
Affiliated entity
ROCKY MOUNTAIN CARE

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Care Compare: Nursing home

Medicare Care Compare
Listed as
Summit Ridge Skilled Nursing & RehabilitationCCN 535040 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6046.0 residents per day on average
Chain
Rocky Mountain Care10 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $34,646
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

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
53D1057028Summit Ridge Skilled Nursing & Rehabilitation1108 Birch Street, Douglas, WY 82633Certificate of waiverJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Walk in Clinic16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
David Winterholler Individual Operational/Managerial Control Sep 1, 2025
Edward L Bangerter Individual Managing Control - Governing BodyMember Sep 1, 2025
North Big Horn Hospital District Organization, Lovell, WY 5% Or Greater Direct Ownership Interest Sep 1, 2025 100%
Rocky Mountain Care LLC Organization, Murray, UT LLC, For-profit, Chain home office Adp of the SNF Sep 24, 2025
Crystal Lake Individual Operational/Managerial Control Sep 1, 2025
Adp of the SNF Sep 1, 2025
Nathan Bangerte Individual Managing Control - Governing BodyMember Sep 1, 2025
Organization, Woods Cross, UT LLC, For-profit Adp of the SNF Oct 11, 2025
Eric S Connell Individual Operational/Managerial Control Sep 1, 2025
Adp of the SNF Sep 1, 2025
Johnathan Bangerter Individual Managing Control - Governing BodyMember Sep 1, 2025
Organization, Woods Cross, UT LLC, For-profit Adp of the SNF Sep 1, 2025
Jason Gatherum Individual Managing Control - Governing BodyMember Sep 1, 2025
Courtney C Neves Individual Managing Control - Governing BodySecretary Sep 1, 2025
Karli McMillan Individual Operational/Managerial Control Sep 1, 2025
Adp of the SNF Sep 1, 2025
Summit Ridge Oc LLC Organization, Woods Cross, UT LLC, Management services company, For-profit Operational/Managerial Control Sep 1, 2025
Adp of the SNF Oct 11, 2025
Megan Darby Individual Managing Control - Governing BodyMember Sep 1, 2025
Benjamin Todd Simmons Individual Operational/Managerial Control Sep 1, 2025
Managing Control - Governing BodyTreasurer Sep 1, 2025
Adp of the SNF Sep 1, 2025
Kelly Snowball Individual Managing Control - Governing BodyChair Apr 1, 2025
Robert B Morrison Individual Operational/Managerial Control Sep 1, 2025
Managing Control - Governing BodyBoard Member Sep 1, 2025
Organization, Woods Cross, UT LLC, Holding company, For-profit Adp of the SNF Jan 15, 2025

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Horizons Care CenterLovell, WY, CCN 535030 Skilled nursing facility Operational/Managerial Control (100%) Mar 29, 2007
Big Horn Rehabilitation and Care CenterSheridan, WY, CCN 535026 Skilled nursing facility Direct Ownership Interest (100%) Oct 1, 2024
Polaris Rehabilitation and Care CenterCheyenne, WY, CCN 535025 Skilled nursing facility Operational/Managerial Control
Direct Ownership Interest (100%)		 Jan 24, 2025
Oct 1, 2024
Shepherd of the Valley Rehabilitation and WellnessCasper, WY, CCN 535042 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2025
Casper Mountain Rehabilitation and Care CenterCasper, WY, CCN 535024 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
Wind River Rehabilitation and WellnessRiverton, WY, CCN 535031 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2025
Granite Rehabilitation and WellnessCheyenne, WY, CCN 535013 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2025
Sage View Care CenterRock Springs, WY, CCN 535056 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2025
Thermopolis Rehabilitation and WellnessThermopolis, WY, CCN 535051 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2025
Laramie Health and RehabilitationLaramie, WY, CCN 535043 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Sep 30, 2025
May 19, 2026
Rawlins Rehabilitation and WellnessRawlins, WY, CCN 535036 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2025
Worland Health and RehabilitationWorland, WY, CCN 535048 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2025

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1285523639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 BIRCH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332761",
            "telephone_number": "307-358-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 BIRCH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332761",
            "telephone_number": "307-358-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BIG HORN HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SHUMWAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-548-5203"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Care - Summit Ridge Skilled Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglas, WY

Sources for this page

Verify at the official NPI Registry.