Beaver Valley Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEAVER VALLEY HOSPITAL

Doing business as

Heritage Park Healthcare and Rehabilitation

Practice address

2700 W 5600 S
Roy, UT 84067-1372

Phone

(801) 825-9731

Fax

(801) 776-2018

NPI assigned

Apr 3, 2017

Last updated

Mar 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Heritage Park Healthcare and Rehabilitation Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194257584. Details of each certification follow.

• CCN 465003 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 465003

Legal name

BEAVER VALLEY HOSPITAL

Doing business as

HERITAGE PARK HEALTHCARE AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1978

Last certification

Jul 2, 2024

Beds

176

Ownership / control type

Partnership

Most recent change of ownership

Jun 1, 2017

Organization structure

GovernmentNon-profit

Enrollment address

2700 W 5600 S
Roy, UT 84067-1372

Nursing home name

HERITAGE PARK HEALTHCARE AND REHABILITATION

Affiliated entity

THE ENSIGN GROUP

Listed as

Heritage Park Healthcare and RehabilitationCCN 465003 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Jan 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

176115.2 residents per day on average

Chain

The Ensign Group342 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $36,645

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Emergency Physicians82 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

• Beaver Valley Hospital

  dba St. Joseph Physical Therapy

  • Physical Therapy Clinic/Center
  • Salt Lake City, UT
  • NPI 1093222077
  NPD tax ID
• Beaver Valley Hospital

  dba Willow Glen Health & Rehab

  • Skilled Nursing Facility
  • Brigham City, UT
  • NPI 1114447711
  NPD tax ID
• Beaver Valley Hospital

  dba Four Corners Regional Care Center

  • Skilled Nursing Facility
  • Blanding, UT
  • NPI 1144528290
  NPD tax ID
• Beaver Valley Hospital

  dba Orem Rehabilitation Therapy

  • Recreation Therapist
  • Orem, UT
  • NPI 1144737115
  NPD tax ID
• Beaver Valley Hospital

  dba Parkdale Health & Rehab

  • Skilled Nursing Facility
  • Price, UT
  • NPI 1154629350
  NPD tax ID
• Beaver Valley Hospital

  dba Rocky Mountain Care - Maple Dell

  • Skilled Nursing Facility
  • Payson, UT
  • NPI 1164362265
  NPD tax ID
• Beaver Valley Hospital

  dba Highland Care Center

  • Skilled Nursing Facility
  • Salt Lake City, UT
  • NPI 1164651444
  NPD tax ID
• Beaver Valley Hospital

  • Skilled Nursing Facility
  • St George, UT
  • NPI 1164881025
  NPD tax ID
• Beaver Valley Hospital

  dba Cascades At Orchard Park

  • Skilled Nursing Facility
  • Orem, UT
  • NPI 1164889457
  NPD tax ID
• Beaver Valley Hospital

  dba Beaver Valley Home Health

  • Home Health Agency
  • Beaver, UT
  • NPI 1174533590
  NPD tax ID
• Beaver Valley Hospital

  • Critical Access Hospital
  • Beaver, UT
  • NPI 1174979108
  NPD tax ID
• Beaver Valley Hospital

  dba Cascades at Riverwalk

  • Skilled Nursing Facility
  • Midvale, UT
  • NPI 1215344163
  NPD tax ID

All disclosed owners & managing parties 12

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

Owners & managing parties with NPI records 1

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

• Casey Lawrence Stelter, MD

  • Family Medicine Physician
  • Layton, UT
  • NPI 1073607222

  Adp of the SNF, Managing Control - Governing Body, 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.

Facilities with the same owner 31

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

• Beaver Valley Hospital

  dba St. George Rehabilitation

  • Skilled Nursing Facility
  • St George, UT
  • NPI 1013452481

  Beaver Valley Hospital

  CMS ownership
• Beaver Valley Hospital

  dba Millcreek Rehabilitation and Nursing

  • Skilled Nursing Facility
  • Salt Lake City, UT
  • NPI 1023480225

  Beaver Valley Hospital

  CMS ownership
• Beaver Valley Hospital

  dba Four Corners Regional Care Center

  • Skilled Nursing Facility
  • Blanding, UT
  • NPI 1144528290

  Beaver Valley Hospital

  CMS ownership
• Beaver Valley Hospital

  dba Parkdale Health & Rehab

  • Skilled Nursing Facility
  • Price, UT
  • NPI 1154629350

  Beaver Valley Hospital

  CMS ownership
• Beaver Valley Hospital

  dba Highland Care Center

  • Skilled Nursing Facility
  • Salt Lake City, UT
  • NPI 1164651444

  Beaver Valley Hospital

  CMS ownership
• Beaver Valley Hospital

  • Skilled Nursing Facility
  • St George, UT
  • NPI 1164881025

  Beaver Valley Hospital

  CMS ownership
• Beaver Valley Hospital

  dba Cascades At Orchard Park

  • Skilled Nursing Facility
  • Orem, UT
  • NPI 1164889457

  Beaver Valley Hospital

  CMS ownership
• Beaver Valley Hospital

  dba Cascades at Riverwalk

  • Skilled Nursing Facility
  • Midvale, UT
  • NPI 1215344163

  Beaver Valley Hospital

  CMS ownership
• Beaver Valley Hospital

  dba Crestwood Rehabilitation and Nursing

  • Skilled Nursing Facility
  • Ogden, UT
  • NPI 1235587577

  Beaver Valley Hospital

  CMS ownership
• Beaver Valley Hospital

  dba Hurricane Health and Rehabilitation

  • Skilled Nursing Facility
  • Hurricane, UT
  • NPI 1235682501

  Beaver Valley Hospital

  CMS ownership
• Beaver Valley Hospital

  dba Copper Ridge Health Care

  • Skilled Nursing Facility
  • West Jordan, UT
  • NPI 1235682519

  Beaver Valley Hospital

  CMS ownership
• Beaver Valley Hospital

  dba Paramount Health and Rehabilitation

  • Skilled Nursing Facility
  • Salt Lake City, UT
  • NPI 1235682592

  Beaver Valley Hospital

  CMS ownership

Affiliated clinicians 2

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

• Mark L Martinez, MD

  • Pulmonary Disease Physician
  • Salt Lake City, UT
  • NPI 1508861964

  Nursing home

  Care Compare affiliation
• Casey Lawrence Stelter, MD

  • Family Medicine Physician
  • Layton, UT
  • NPI 1073607222

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1194257584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W 5600 S",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840671372",
            "telephone_number": "801-825-9731",
            "fax_number": "801-776-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 5600 S",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840671372",
            "telephone_number": "801-825-9731",
            "fax_number": "801-776-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heritage Park Healthcare and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Park Healthcare and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenyon Barnes
• Coleman Barrett
• Kristie Barry, RDH
• Jessica Jane Bartlett, CNM, RN, IBCLC
• Emma Bartlome, DPT
• Beaver Valley Hospital (Heritage Park Healthcare Therapy)
• David J Beeston, D.D.S.
• Mikayl Bell, A.P.R.N.
• Joseph Trevor Berg
• Vicki L Berger, P.A.

• Skilled Nursing Facility in Roy, UT
• Providers in Roy, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.