Organization Active NPI

SD Health Services LLC

Doing business as Rocky Mountain Home Care - Green River

  • Home Health Agency
  • Green River, WY
National Provider Identifier
1790561744
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SD HEALTH SERVICES LLC
Doing business as
Rocky Mountain Home Care - Green River
Practice address
175 River View Dr Ste a
Green River, WY 82935-4811
Phone
(307) 875-7976
Fax
(307) 875-8990
NPI assigned
Sep 6, 2023
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Brad Mikesell
Title
Board President
Phone
(801) 397-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

175 River View Dr Ste a
Green River, WY 82935-4811

Mailing address

598 W 900 S Ste 220
Woods Cross, UT 84010-8195
Phone (801) 397-4697

Other names 1

  • Rocky Mountain Home Care - Green River Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DSM@rockymountaincare.brightreedirect.net Direct

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mountain Home Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1790561744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 W 900 S STE 220",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840108195",
            "telephone_number": "801-397-4697",
            "fax_number": "801-296-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 RIVER VIEW DR STE A",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829354811",
            "telephone_number": "307-875-7976",
            "fax_number": "307-875-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "MIKESELL",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "801-397-4000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DSM@rockymountaincare.brightreedirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "175 River View Dr Ste A",
            "city": "Green River",
            "state": "WY",
            "country_code": "US",
            "postal_code": "829354811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Home Care - Green River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green River, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.