SD Health Services LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SD HEALTH SERVICES LLC

Doing business as

Rocky Mountain Hospice - Green River

Practice address

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

Phone

(307) 875-7976

NPI assigned

Jun 5, 2024

Last updated

Jun 5, 2024By 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

Brad Mikesell

Title

Board President

Phone

(801) 397-4000

Specialties & licenses 1

Addresses

Other names 1

• Rocky Mountain Hospice - Green River Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912748765. Details of each certification follow.

• CCN 531533 Hospice · Active · Details

Hospice certification: CCN 531533

Legal name

SD HEALTH SERVICES LLC

Doing business as

ROCKY MOUNTAIN HOSPICE - GREEN RIVER

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 4, 2026

Last certification

Jan 16, 2026

Ownership / control type

Proprietary - Partnership

Organization structure

LLCNon-profit

Incorporated

Jun 22, 2023 in UT

Enrollment address

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

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

CLIA laboratory certificates

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.

• SD Health Services LLC

  dba Rocky Mountain Home Care - Green River

  • Home Health Agency
  • Green River, WY
  • NPI 1790561744
  NPD tax ID
• SD Health Services LLC

  dba Rocky Mountain Hospice

  • Community Based Hospice Care Agency
  • Woods Cross, UT
  • NPI 1659158921
  NPD tax ID
• SD Health Services LLC

  dba Rocky Mountain Home Care

  • Home Health Agency
  • Woods Cross, UT
  • NPI 1699550715
  NPD tax ID

All disclosed owners & managing parties 10

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

Facilities with the same owner 3

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

• Bcbu, Inc.

  dba Rocky Mountain Home Care - Green River

  • Home Health Agency
  • Green River, WY
  • NPI 1811994122

  Rocky Mountain Care LLC

  CMS ownership
• Crest Home Health and Hospice, LLC

  • Home Health Agency
  • Coeur d'Alene, ID
  • NPI 1194722405

  Rocky Mountain Care LLC

  CMS ownership
• Crest Home Health and Hospice, LLC

  • Community Based Hospice Care Agency
  • Coeur d'Alene, ID
  • NPI 1346504784

  Rocky Mountain Care LLC

  CMS ownership

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1912748765",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "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 Hospice - Green River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rmce Wyoming Home Health and Hospice LLC (Rocky Mountain Home Health - Wyoming)
• Joel Robertson, PA
• Scott Wesley Robertson, OD
• Lorrene Dannielle Sandbak
• SD Health Services LLC (Rocky Mountain Home Care - Green River)
• Kristine F Sherwin, PA-C
• Shopko Stores Operating Co LLC (Shopko Pharmacy 760)
• Marti Jo Sidwell
• Sleep Better Wyoming LLC
• John Stephen Sloan, M.D.

• Community Based Hospice Care Agency in Green River, WY
• Providers in Green River, WY by specialty
• Community Based Hospice Care Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.