NPIMap

Organization Active NPI

Beaver Valley Hospital

Doing business as Cascades at Riverwalk

  • Skilled Nursing Facility
  • Midvale, UT
National Provider Identifier
1215344163
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEAVER VALLEY HOSPITAL
Doing business as
Cascades at Riverwalk
Practice address
1012 W Jordan River Blvd
Midvale, UT 84047
Phone
(801) 565-0800
NPI assigned
Jul 11, 2014
Last updated
Jul 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Authorized official

Name
Chad Fullmer, MPTNPI 1285760033
Title
Managing Partner
Phone
(801) 635-6602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1012 W Jordan River Blvd
Midvale, UT 84047

Mailing address

1012 W Jordan River Blvd
Midvale, UT 84047
Phone (801) 565-0800

Other identifiers 2

IdentifierTypeStateIssuer
461003359001MedicaidUT
2015-NCF UT000664OtherUTUTAH DEPT OF HEALTH

Other names 1

  • Cascades at Riverwalk Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170719002568 UT Part A Provider - Skilled Nursing Facility 2769376326 Practice locations: Midvale, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215344163. Details of each certification follow.

Skilled nursing facility certification: CCN 465184

Legal name
BEAVER VALLEY HOSPITAL
Doing business as
CASCADES AT RIVERWALK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 29, 2015
Last certification
Oct 10, 2023
Beds
120
Ownership / control type
Hospital District
Multi-facility organization
Beaver Valley Hospital District
Organization structure
OtherNon-profit
Enrollment address
1012 W Jordan River Blvd
Midvale, UT 84047-4865
Nursing home name
CASCADES AT RIVERWALK
Affiliated entity
CASCADES HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cascades at RiverwalkCCN 465184 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Apr 29, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120102.9 residents per day on average
Chain
Cascades Healthcare19 facilities in the chain
Penalties (3 years)
1Fines totaling $23,829

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
46D2090756Cascades at Riverwalk1012 W Jordan River Blvd, Midvale, UT 84047Certificate of waiverJan 28, 2027

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 24

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

View all 24

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Garth James Muir Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Cascades Healthcare LLC Organization, Provo, UT LLC, Management services company, Chain home office Operational/Managerial Control Jan 1, 2023
Adp of the SNF May 19, 2025
Beaver Valley Hospital Organization, Provo, UT Medical provider/supplier 5% Or Greater Direct Ownership Interest Sep 18, 2018 100%
Operational/Managerial Control Jul 1, 2017
Adp of the SNF Sep 18, 2018
Scott a Langford Individual Corporate OfficerChief Operating Officer; Beav Jul 1, 2017 100%
Chad B Fullmer Individual Operational/Managerial ControlDirector, Cascades at Riverwalk Jul 1, 2017
Adp of the SNF Jul 1, 2017
Derek O White Individual Operational/Managerial ControlDirector, Cascades at Riverwalk Jul 1, 2017
Adp of the SNF Jul 1, 2017
Darin S McSpadden Individual Operational/Managerial ControlDirector, Cascades at Riverwalk Jul 1, 2017
Managing Control - Governing BodyCeo Jul 1, 2017
Adp of the SNF Jul 1, 2017
Jason W Crump Individual Corporate DirectorDirector Jul 1, 2017
Operational/Managerial Control Jul 1, 2017
Christopher H Cunningham Individual Operational/Managerial Control Jul 1, 2017
Adp of the SNF Apr 4, 2025

Owners & managing parties with NPI records 4

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
Parkdale Health and RehabPrice, UT, CCN 465102 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 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
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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501459200000",
    "number": "1215344163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W JORDAN RIVER BLVD",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "84047",
            "telephone_number": "801-565-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W JORDAN RIVER BLVD",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "84047",
            "telephone_number": "801-565-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2017-07-31",
        "status": "A",
        "authorized_official_last_name": "FULLMER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "801-635-6602",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "461003359001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH DEPT OF HEALTH",
            "identifier": "2015-NCF UT000664",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascades at Riverwalk",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cascades at Riverwalk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midvale, UT

Sources for this page

Verify at the official NPI Registry.