Beaver Valley Hospital
Organization Active NPI Skilled Nursing Facility · Blanding, UT
NPI 1144528290 · NPPES record last updated May 11, 2015
Key facts
- NPI
- 1144528290
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BEAVER VALLEY HOSPITAL
- Practice address
- 818 North 400 West
Blanding, UT 84511 - Phone
- (435) 678-2251
- Fax
- (435) 678-2326
- NPI assigned
- Mar 14, 2011
- Organization subpart
- No
Authorized official
- Name
- Craig Val Davidson
- Title
- Ceo/Administrator
- Phone
- (435) 438-7100
Owners & managing parties with NPI records 4
-
Chad B Fullmer, M.P.T.
-
Lloyd Val Jones, M.D.
-
Darin S. McSpadden, OTR
-
Richard Wade Oakden, M.D.
Corporate family (same tax ID) 21
Facilities with the same owner 33
Affiliated clinicians 4
-
Lloyd Val Jones, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Four Corners Regional Care Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- May 17, 1977
- Medicare certification status
- Active
- Certified beds
- 104 · 50.1 residents per day on average
- Chain
- Cascades Healthcare
- Penalties (3 years)
- 2 · fines totaling $68,471
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Skilled nursing facility certification: CCN 465057
- Legal name
- BEAVER VALLEY HOSPITAL
- Doing business as
- FOUR CORNERS REGIONAL CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 17, 1977
- Last certification
- Jan 9, 2025
- Beds
- 104
- Ownership / control type
- County
- Multi-facility organization
- Beaver Valley Hospital
- Most recent change of ownership
- Feb 1, 2015
- Organization structure
- Government · Non-profit
- Enrollment address
- 818 N 400 W
Blanding, UT 84511-3417 - Nursing home name
- FOUR CORNERS REGIONAL CARE CENTER
- Affiliated entity
- CASCADES HEALTHCARE
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Lloyd V Jones |
Operational/Managerial Control | Sep 18, 2018 | |
| Adp of the SNF | Sep 18, 2018 | ||
| Val Smith |
Corporate Director |
Sep 18, 2018 | 14% |
| Cascades Healthcare LLC |
Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Apr 18, 2025 | ||
| Beaver Valley Hospital |
5% Or Greater Direct Ownership Interest | Feb 1, 2015 | 100% |
| Janett Barney |
Corporate Director |
Sep 18, 2018 | 14% |
| Scott a Langford |
Corporate Officer |
Sep 18, 2018 | 5% |
| Craig White |
Corporate Director |
Sep 18, 2018 | 14% |
| Chad B Fullmer |
Corporate Director |
Sep 18, 2018 | |
| Operational/Managerial Control |
Sep 18, 2018 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Darin S McSpadden |
Corporate Officer |
Sep 18, 2018 | 95% |
| Operational/Managerial Control |
Sep 18, 2018 | ||
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Gary Brown |
Corporate Director |
Sep 18, 2018 | 14% |
| Samuel Stokes |
Operational/Managerial Control | Oct 1, 2024 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Richard Wade Oakden |
Corporate Director |
Sep 18, 2018 | 14% |
| Matthew Robinson |
Corporate Director |
Sep 18, 2018 | 14% |
All facility ownership & control disclosures 31
| Facility | Type | Role | Since |
|---|---|---|---|
| Red Cliffs Health and Rehab |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 18, 2018 Sep 18, 2018 |
| Sandy Health and Rehab |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Feb 1, 2015 Sep 18, 2028 |
| Parkdale Health and Rehab |
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 Center |
Skilled nursing facility | Operational/Managerial Control Direct Ownership Interest (100%) |
Sep 18, 2018 Sep 18, 2018 |
| South Ogden Post Acute |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Nov 1, 2015 Aug 29, 2025 |
| Meadowbrook Rehabilitation and Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2015 |
| Spanish Fork Rehabilitation and Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Nov 1, 2015 Nov 1, 2015 |
| Millcreek Rehabilitation and Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2015 |
| Cedar Health and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2019 |
| Bella Terra St George |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Feb 2, 2016 Feb 2, 2016 |
| City Creek Post Acute |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Hurricane Health and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Orem Rehabilitation and Nursing Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Paramount Health and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Pinnacle Nursing and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Provo Rehabilitation and Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Copper Ridge Health Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Draper Rehabilitation and Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| St Joseph Villa |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Mt. Ogden Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Holladay Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Cascades at Orchard Park |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jul 19, 2016 Sep 18, 2028 |
| St George Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2016 |
| Crestwood Rehabilitation and Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2016 |
| Cascades at Riverwalk |
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 Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 29, 2017 |
| Heritage Park Healthcare and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2017 |
| Pointe Meadows Health and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 2, 2019 |
| The Terrace Transitional |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2019 |
| Alpine Meadow Rehabilitation and Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jul 19, 2016 Jul 19, 2016 |
| Monument Healthcare Millcreek |
Skilled nursing facility | Operational/Managerial Control | Dec 6, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150225001471 | UT | Part a Provider - Skilled Nursing Facility | 2769376326 | Practice locations: Blanding, UT |
National Provider Directory
- Tax ID family
- B N Robinson MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
818 North 400 West
Blanding, UT 84511
Mailing address
818 North 400 West
Blanding, UT 84511
Phone (435) 678-2251
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275437628001 | Medicaid | UT |
Other names
- Four Corners Regional Care Center
Other providers in Blanding, UT
- Atlantic Home Health Care, LLC
- Jana Bailey
- Lacinda Bayles
- Sharla Bayles
- Bcbu, Inc
- Kristine Beaver
- Leilani Rose Begaye
- Jurea Ben
- Clydene Benally
- Joanna K. Bethea
All providers in Blanding, UT · Skilled Nursing Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.