Active NPI
Welbrook Yuma Opco LLC
- Skilled Nursing Facility
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WELBROOK YUMA OPCO LLC
- Practice address
- 2271 S Ridgeview Dr
Yuma, AZ 85364-8872 - Phone
- (801) 683-6565
- NPI assigned
- Feb 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matt Rasband
- Title
- Ceo
- Phone
- (801) 683-6565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2271 S Ridgeview Dr
Yuma, AZ 85364-8872
Mailing address
450 S 400 E Ste 200
Bountiful, UT 84010-5094
Phone (801) 683-6565
Other names 1
- Ridgeview Transitional Rehabilitation
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Welbrook.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200528001162 | AZ | Part A Provider - Skilled Nursing Facility | 1254752389 | Practice locations: Yuma, AZ |
Skilled nursing facility certification: CCN 035298
- Legal name
- WELBROOK YUMA OPCO LLC
- Doing business as
- RIDGEVIEW TRANSITIONAL REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Nov 11, 2020
- Last certification
- Jan 8, 2025
- Beds
- 41
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- May 22, 2018 in UT
- Enrollment address
- 2271 S Ridgeview Dr
Yuma, AZ 85364-8872 - Nursing home name
- WELBROOK YUMA OPCO LLC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Welbrook Yuma Opco LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 11, 2020
- Medicare certification status
- Active
- Certified beds
- 41
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2190621 | Ridgeview Transitional Rehabilitation | Certificate of waiver | Aug 16, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Matthew Rasband | Corporate Officer | May 22, 2018 | 100% |
| Tanmay M Chimegawe | Operational/Managerial Control | Jul 1, 2024 | |
| Adp of the SNF | Jul 1, 2024 | ||
| Welbrook Yuma Propco LLC | 5% Or Greater Direct Ownership Interest | May 22, 2018 | 100% |
| Adp of the SNF | Jan 1, 2018 | ||
| Darrick J Trump | Operational/Managerial Control | Jan 1, 2021 | |
| Adp of the SNF | Jan 1, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1164671046
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1582502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582502400000",
"number": "1477187995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 S 400 E STE 200",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840105094",
"telephone_number": "801-683-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2271 S RIDGEVIEW DR",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648872",
"telephone_number": "801-683-6565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELBROOK YUMA OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A",
"authorized_official_last_name": "RASBAND",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-683-6565"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Welbrook.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "welbrook.com",
"address_1": "2271 S Ridgeview Dr",
"city": "Yuma",
"state": "AZ",
"country_code": "US",
"postal_code": "853648872",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Ridgeview Transitional Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.