Organization Active NPI

Northern Utah Rehabilitation Hospital LLC

  • Rehabilitation Hospital
  • South Ogden, UT
National Provider Identifier
1053732024
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
NORTHERN UTAH REHABILITATION HOSPITAL LLC
Practice address
5825 Harrison Blvd
South Ogden, UT 84403-4316
Phone
(801) 475-5254
Fax
(801) 475-5259
NPI assigned
Dec 18, 2013
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Denise Kann
Title
Vice President and Secretary
Phone
(972) 216-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

5825 Harrison Blvd
South Ogden, UT 84403-4316

Mailing address

1024 N Galloway Ave Ste 102
Mesquite, TX 75149-2434
Phone (972) 216-2299

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequesst_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140929000618 UT Part A Provider - Hospital 8224269915 Practice locations: South Ogden, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053732024. Details of each certification follow.

Hospital certification: CCN 463027

Legal name
NORTHERN UTAH REHABILITATION HOSPITAL LLC
Doing business as
NORTHERN UTAH REHABILITATION HOSPTIAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
May 22, 2014
Last certification
May 22, 2014
Beds
40
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Nov 1, 2012 in DE
Enrollment address
5825 Harrison Blvd
Hospital
South Ogden, UT 84403-4316
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Northern Utah Rehabilitation HospitalCCN 463027 · All quality measures
Ownership
For profit
Certified
May 22, 2014
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2072617Northern Utah Rehabilitation Hospital5825 Harrison Blvd, South Ogden, UT 84403Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory

Networks

  • UT PPO D-SNPPlans: DEVOTED DUAL CHOICE FULL 004 UT (PPO D-SNP) (H4473-004-000, H4473)

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Jacob S Socha Individual Corporate OfficerPresident Jun 1, 2023
One Equity Partners VII-B LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 4, 2018 12.4%
Ernest Health, Inc Organization, Mesquite, TX Corporation, For-profit Other Nov 1, 2012
Epoch Parent Inc Organization, New York, NY Created for acquisition, Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2018 100%
One Equity Partners VII LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 4, 2018 58%
Epoch Parent Holdings LLC Organization, New York, NY Created for acquisition, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2018 100%
Reuben Jessop Individual W-2 Managing EmployeeHospital Ceo Jun 19, 2023
Ernest Health Holdings LLC Organization, Mesquite, TX LLC, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2012 100%
MPT of Ogden LLC Organization, Birmingham, AL Created for acquisition, LLC, Investment firm, For-profit 5% Or Greater Security Interest Jan 1, 2019 46.6%
Epoch Midco, Inc Organization, New York, NY Created for acquisition, Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2018 100%
Capital One NA Organization, MC Lean, VA Corporation, Investment firm 5% Or Greater Direct Ownership Interest Oct 4, 2018 51.4%
Eudora Cannon Individual Corporate OfficerVice President Jun 1, 2023
Other Jun 1, 2023
One Equity Partners VII-a LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 4, 2018 29.7%
Caleb Reed Individual Corporate OfficerTreasurer Jun 1, 2023
Denise a Kann Individual Corporate OfficerVice President, Secretary Jun 1, 2023
Epoch Acquisition Inc Organization, New York, NY Created for acquisition, Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2018 100%

Facilities with the same owner 41

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

View all 41

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1053732024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N GALLOWAY AVE STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492434",
            "telephone_number": "972-216-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 HARRISON BLVD",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034316",
            "telephone_number": "801-475-5254",
            "fax_number": "801-475-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN UTAH REHABILITATION HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "KANN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "972-216-2299"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequesst_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMd eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

Verify at the official NPI Registry.