Deseret Health and Rehab at Rock Springs LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DESERET HEALTH AND REHAB AT ROCK SPRINGS LLC

Practice address

1325 Sage St
Rock Springs, WY 82901-7478

Phone

(307) 362-3780

NPI assigned

Nov 26, 2012

Organization subpart

Yes

Parent organization

DNR TWO LLCAs reported in NPPES

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

Authorized official

Name

Garrett Robertson

Title

Ceo

Phone

(801) 296-5105

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1962746222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SAGE ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829017478",
            "telephone_number": "307-362-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SAGE ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829017478",
            "telephone_number": "307-362-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERET HEALTH AND REHAB AT ROCK SPRINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DNR TWO LLC",
        "enumeration_date": "2012-11-26",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-296-5105"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106152600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sondra Ann De la O
• Deborah Ann Defauw, PT
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• Delta Romeo Tango LLC
• Jacques A Denker, DO
• Ryan Lee Desmond
• Danielle Deters
• Brittany Ann Dewick, BA
• Faith A Dillard, MD
• Stephanie Diane Dillard

• Skilled Nursing Facility in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Skilled Nursing Facility in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.