NPIMap

Organization Active NPI

Beaver Valley Hospital

Doing business as Millcreek Rehabilitation and Nursing

  • Skilled Nursing Facility
  • Salt Lake City, UT
National Provider Identifier
1023480225
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEAVER VALLEY HOSPITAL
Doing business as
Millcreek Rehabilitation and Nursing
Practice address
3520 S Highland Dr
Salt Lake City, UT 84106-3211
Phone
(801) 484-7638
NPI assigned
Oct 27, 2015
Last updated
May 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Walter E Myers
Title
Managing Partner
Phone
(801) 709-4358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

3520 S Highland Dr
Salt Lake City, UT 84106-3211

Mailing address

3520 S Highland Dr
Salt Lake City, UT 84106-3211

Other names 1

  • Millcreek Rehabilitation and Nursing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160408001764 UT Part A Provider - Skilled Nursing Facility 2769376326 Practice locations: Salt Lake City, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023480225. Details of each certification follow.

Skilled nursing facility certification: CCN 465185

Legal name
BEAVER VALLEY HOSPITAL
Doing business as
MILLCREEK REHABILITATION AND NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 4, 2016
Last certification
Mar 31, 2025
Beds
61
Ownership / control type
City/County
Organization structure
OtherNon-profit
Enrollment address
3520 S Highland Dr
Salt Lake City, UT 84106-3211
Nursing home name
MILLCREEK REHABILITATION AND NURSING
Affiliated entity
BEAVER VALLEY HOSPITAL

Care Compare: Nursing home

Medicare Care Compare
Listed as
Millcreek Rehabilitation and NursingCCN 465185 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - City/county
Certified
Apr 4, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6157.6 residents per day on average
Chain
Beaver Valley Hospital5 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $25,441

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Parowan Medical Clinic82 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

3520 S Highland Dr
Millcreek, UT 84106
Phone (801) 484-7638

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Beaver Valley Hospital Organization, Beaver, UT 5% Or Greater Direct Ownership Interest Nov 1, 2015 100%
Scott a Langford Individual Corporate OfficerChief Executive Officer Jul 1, 2017
Brendan Clark Individual Operational/Managerial Control Jul 3, 2025
Adp of the SNF Jul 3, 2025
Millcreek Rehabilitation and Nursing LLC Organization, American Fork, UT LLC Operational/Managerial Control Jul 11, 2025
Adp of the SNF Jul 11, 2025
Walter E Myers Individual Operational/Managerial Control Apr 4, 2016 100%
Cottonwood Healthcare LLC Organization, American Fork, UT LLC Operational/Managerial Control Feb 10, 2016
Adp of the SNF Jul 3, 2025
Rachael Stubbs Individual Operational/Managerial Control Jul 3, 2025
Adp of the SNF Jul 3, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Rachael Stubbs, MD
    • Geriatric Medicine (Internal Medicine) Physician
    • Salt Lake City, UT
    • NPI 1568489375

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 31

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Red Cliffs Health and RehabSt George, UT, CCN 465137 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 18, 2018
Sep 18, 2018
Sandy Health and RehabSandy, UT, CCN 465111 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Feb 1, 2015
Sep 18, 2028
Four Corners Regional Care CenterBlanding, UT, CCN 465057 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Parkdale Health and RehabPrice, UT, CCN 465102 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Indirect Ownership Interest (100%)		 Feb 1, 2015
Sep 18, 2028
Sep 18, 2018
Spring Creek Healthcare CenterSalt Lake City, UT, CCN 465049 Skilled nursing facility Operational/Managerial Control
Direct Ownership Interest (100%)		 Sep 18, 2018
Sep 18, 2018
South Ogden Post AcuteOgden, UT, CCN 465117 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 1, 2015
Aug 29, 2025
Meadowbrook Rehabilitation and NursingSalt Lake City, UT, CCN 465158 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2015
Spanish Fork Rehabilitation and NursingSpanish Fork, UT, CCN 465183 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 1, 2015
Nov 1, 2015
Cedar Health and RehabilitationCedar City, UT, CCN 465143 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Bella Terra St GeorgeSt George, UT, CCN 465152 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Feb 2, 2016
Feb 2, 2016
City Creek Post AcuteSalt Lake City, UT, CCN 465072 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Hurricane Health and RehabilitationHurricane, UT, CCN 465101 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Orem Rehabilitation and Nursing CenterOrem, UT, CCN 465104 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Paramount Health and RehabilitationSalt Lake City, UT, CCN 465100 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Pinnacle Nursing and Rehabilitation CenterPrice, UT, CCN 465098 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Provo Rehabilitation and NursingProvo, UT, CCN 465119 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Copper Ridge Health CareWest Jordan, UT, CCN 465108 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Draper Rehabilitation and Care CenterDraper, UT, CCN 465091 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
St Joseph VillaSalt Lake City, UT, CCN 465095 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Mt. Ogden Health and Rehabilitation CenterWashington Terrace, UT, CCN 465069 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Holladay Healthcare CenterSalt Lake City, UT, CCN 465109 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Cascades at Orchard ParkOrem, UT, CCN 465090 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jul 19, 2016
Sep 18, 2028
St George RehabilitationSt George, UT, CCN 465064 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2016
Crestwood Rehabilitation and NursingOgden, UT, CCN 465083 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2016
Cascades at RiverwalkMidvale, UT, CCN 465184 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Sep 18, 2018
Jul 1, 2017
Sep 18, 2018
Highland Care CenterHolladay, UT, CCN 465078 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 29, 2017
Heritage Park Healthcare and RehabilitationRoy, UT, CCN 465003 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2017
Pointe Meadows Health and RehabilitationLehi, UT, CCN 465188 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2019
The Terrace TransitionalOgden, UT, CCN 465115 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2019
Alpine Meadow Rehabilitation and NursingWest Valley City, UT, CCN 465191 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jul 19, 2016
Jul 19, 2016
Monument Healthcare MillcreekMillcreek, UT, CCN 465139 Skilled nursing facility Operational/Managerial Control Dec 6, 2024

Facilities with the same owner 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1023480225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 S HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 S HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063211",
            "telephone_number": "801-484-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "801-709-4358"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millcreek Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.