Rocky Mountain Care - Summit Ridge Assisted Living Facility Oc LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROCKY MOUNTAIN CARE - SUMMIT RIDGE ASSISTED LIVING FACILITY OC LLC

Practice address

1110 Birch St
Douglas, WY 82633-2761

Phone

(307) 358-1897

NPI assigned

Aug 22, 2025

Organization subpart

No

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

Authorized official

Name

Jason Gatherum

Title

President and Cdo

Phone

(801) 397-4187

Specialties & licenses 1

Addresses

Other names 1

• Summit Ridge Assisted Living and Memory Care Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1871471391",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BIRCH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332761",
            "telephone_number": "307-358-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN CARE - SUMMIT RIDGE ASSISTED LIVING FACILITY OC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "GATHERUM",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT AND CDO",
        "authorized_official_telephone_number": "801-397-4187"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Ridge Assisted Living and Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie D Richards
• Tristyn Richendifer, PA-C
• Patrick Aaron Robertson, M.D.
• Megan Rose Robinson, OTR/L
• Sylvia Robinson
• Kelly Ross
• William Rowden
• Safeway Inc
• Reagan Janae Scott, O.T.R./L.
• Jaslyn Robb Seeley

• Assisted Living Facility in Douglas, WY
• Providers in Douglas, WY by specialty
• Assisted Living Facility in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.