Rock Springs Young at Heart

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PENDING Issued in WY

Legal business name

ROCK SPRINGS YOUNG AT HEART

Doing business as

YAH Home Health Care

Practice address

2400 Reagan Ave
Rock Springs, WY 82901-4531

Phone

(307) 352-1283

Fax

(307) 352-1285

NPI assigned

Aug 31, 2006

Last updated

Nov 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Rust

Title

Director

Phone

(307) 352-6737

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• YAH Home Health Care Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730290230. Details of each certification follow.

• CCN 537074 Home health agency · Active · Details

Home health agency certification: CCN 537074

Legal name

ROCK SPRINGS YOUNG AT HEART

Doing business as

YAH HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 11, 2007

Last certification

Aug 5, 2021

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Incorporated

May 30, 1973 in WY

Enrollment address

2400 Reagan Ave
Rock Springs, WY 82901-4531

Listed as

Rock Springs Young at HeartCCN 537074 · All quality measures

Ownership

Non-Profit

Certified

Apr 11, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Locations

All disclosed owners & managing parties 9

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

Affiliated clinicians 3

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

• Lynn Perrins Eskelson, M.D.

  • Family Medicine Physician
  • Green River, WY
  • NPI 1003826389

  Home health agency

  Care Compare affiliation
• Melissa M Jewell, PA-C

  • Medical Physician Assistant
  • Rock Springs, WY
  • NPI 1306389465

  Home health agency

  Care Compare affiliation
• Shawn Rockey, PA-C

  • Physician Assistant
  • Rock Springs, WY
  • NPI 1740682020

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1730290230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 REAGAN AVE",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014531",
            "telephone_number": "307-352-1283",
            "fax_number": "307-352-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 REAGAN AVE",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014531",
            "telephone_number": "307-352-1283",
            "fax_number": "307-352-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK SPRINGS YOUNG AT HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-352-6737",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WY",
            "license": "1092561000",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WY",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092561000",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "08-201",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YAH Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "YAH Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rock Springs Chiropractic Health Center P.C.
• Rock Springs Family Practice Inc
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• Rock Springs I.V. Inc.
• Rock Springs Plastic Surgery Center
• Shawn Rockey, PA-C
• Rocky Mountain Holdings, LLC (AirMed 2)
• Rocky Mountain Sports Medicine and Rehabilitation LLC
• Rocky Mountain Sports Medicine Rehabilitation LLC
• Lori Rodabough

• Home Health Agency in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Home Health Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.

Verify at the official NPI Registry.