NPIMap

Organization Active NPI

Milford Memorial Hospital

Doing business as Sunshine Terrace Skilled Nursing

  • Skilled Nursing Facility
  • Logan, UT
National Provider Identifier
1063194876
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MILFORD MEMORIAL HOSPITAL
Doing business as
Sunshine Terrace Skilled Nursing
Practice address
248 W 300 N
Logan, UT 84321-3810
Phone
(435) 754-0218
NPI assigned
Aug 1, 2023
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Bryan Erickson
Title
Ceo
Phone
(435) 754-0218

Specialties & licenses 1

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

Addresses

Primary practice location

248 W 300 N
Logan, UT 84321-3810

Mailing address

248 W 300 N
Logan, UT 84321-3810
Phone (435) 754-0218

Other names 1

  • Sunshine Terrace Skilled Nursing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240103002038 UT Part A Provider - Skilled Nursing Facility 8426955055 Practice locations: Logan, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063194876. Details of each certification follow.

Skilled nursing facility certification: CCN 465079

Legal name
MILFORD MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1981
Last certification
Feb 22, 2024
Beds
172
Ownership / control type
Hospital District
Organization structure
GovernmentNon-profit
Incorporated
Jul 2, 1982 in UT
Enrollment address
248 W 300 N
Logan, UT 84321-3810
Nursing home name
SUNSHINE TERRACE SKILLED NURSING

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sunshine Terrace Skilled NursingCCN 465079 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Sep 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
17266.4 residents per day on average
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Milford Valley Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Sunshine Terrace Foundation, Inc Organization, Logan, UT Corporation, Non-profit Operational/Managerial Control Oct 2, 2022 100%
Bryan Erickson Individual Corporate OfficerCeo Oct 2, 2022
Operational/Managerial ControlCeo Oct 2, 2022 100%
Michelle Barton Individual Corporate OfficerChief Operating Officer Oct 2, 2022
Milford Memorial Hospital Organization, Milford, UT 5% Or Greater Direct Ownership Interest Oct 2, 2022 100%

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Monument Healthcare BountifulBountiful, UT, CCN 465112 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Feb 1, 2024
Feb 1, 2024
Mar 6, 2025
Feb 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Milford Memorial Hospital

    dba Monument Healthcare Bountiful

    • Skilled Nursing Facility
    • Bountiful, UT
    • NPI 1841058641

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1063194876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 W 300 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213810",
            "telephone_number": "435-754-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 W 300 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213810",
            "telephone_number": "435-754-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-754-0218"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Terrace Skilled Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.