NPIMap

Organization Active NPI

Beaver Valley Hospital

Doing business as Parkdale Health & Rehab

  • Skilled Nursing Facility
  • Price, UT
National Provider Identifier
1154629350
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEAVER VALLEY HOSPITAL
Doing business as
Parkdale Health & Rehab
Practice address
250 East 600 North
Price, UT 84501
Phone
(435) 637-2621
Fax
(435) 637-8979
NPI assigned
Mar 11, 2011
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Craig Val Davidson
Title
Ceo/Administrator
Phone
(435) 438-7100

Specialties & licenses 1

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

Addresses

Primary practice location

250 East 600 North
Price, UT 84501

Mailing address

250 East 600 North
Price, UT 84501
Phone (435) 637-2621

Other identifiers 1

IdentifierTypeStateIssuer
275438015001MedicaidUT

Other names 1

  • PARKDALE HEALTH & REHAB Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150226002210 UT Part A Provider - Skilled Nursing Facility 2769376326 Practice locations: Price, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154629350. Details of each certification follow.

Skilled nursing facility certification: CCN 465102

Legal name
BEAVER VALLEY HOSPITAL
Doing business as
PARKDALE HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1985
Last certification
May 18, 2024
Beds
58
Ownership / control type
Corporation
Multi-facility organization
Cascades Healthcare
Most recent change of ownership
Feb 1, 2015
Organization structure
GovernmentNon-profit
Enrollment address
250 E 600 N
Price, UT 84501-2126
Nursing home name
PARKDALE HEALTH AND REHAB
Affiliated entity
CASCADES HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Parkdale Health and RehabCCN 465102 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5829.6 residents per day on average
Chain
Cascades Healthcare19 facilities in the chain
Penalties (3 years)
1Fines totaling $6,351

Processed by Care Compare on Aug 1, 2026.

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
46D0676590Parkdale Health and Rehab250 E 600 N, Price, UT 84501Certificate of waiverAug 31, 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 23

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

View all 23

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
Cascades Healthcare LLC Organization, Provo, UT LLC, Management services company, Chain home office Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jun 4, 2025
Beaver Valley Hospital Organization, Beaver, UT Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2015 100%
Adp of the SNF Sep 18, 2028
Indirect Ownership Interest Sep 18, 2018 100%
Sterling G Potter Individual Operational/Managerial Control Sep 18, 2018
Adp of the SNF Sep 18, 2018
Scott a Langford Individual Corporate OfficerCeo of the Governing Hosp District Sep 18, 2018 50%
Managing Control - Governing BodyCeo of Beaver Valley Hospital Sep 18, 2018
Chad B Fullmer Individual Operational/Managerial ControlDirector, Dba Operator Sep 18, 2018
Adp of the SNF Jan 1, 2023
Darin S McSpadden Individual Corporate OfficerCeo/Home Office Administrator Sep 18, 2018
Operational/Managerial ControlDirector, Dba Operator Sep 18, 2018
Managing Control - Governing Body Jan 1, 2023
Adp of the SNF Jan 1, 2023
Ashley White Individual Operational/Managerial Control Feb 29, 2024
Adp of the SNF Feb 29, 2024

Owners & managing parties with NPI records 3

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

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
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
Millcreek Rehabilitation and NursingSalt Lake City, UT, CCN 465185 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) 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 33

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

View all 33

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1154629350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EAST 600 NORTH",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "84501",
            "telephone_number": "435-637-2621",
            "fax_number": "435-637-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EAST 600 NORTH",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "84501",
            "telephone_number": "435-637-2621",
            "fax_number": "435-637-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "VAL",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "435-438-7100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275438015001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKDALE HEALTH & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.