Active NPI
Uintah Health Care Special Service District
- Skilled Nursing Facility
- Vernal, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2005-NCF-94
- Legal business name
- UINTAH HEALTH CARE SPECIAL SERVICE DISTRICT
- Practice address
- 510 S 500 W
Vernal, UT 84078-4301 - Phone
- (435) 781-3500
- Fax
- (435) 789-3201
- NPI assigned
- Jul 12, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wayne Dunbar
- Title
- Administrator
- Phone
- (435) 781-3511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2005-NCF-94 | UT | Primary |
Addresses
Primary practice location
510 S 500 W
Vernal, UT 84078-4301
Mailing address
510 S 500 W
Vernal, UT 84078-4301
Phone (435) 781-3505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 519160002004 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040826001134 | UT | Part A Provider - Skilled Nursing Facility | 5496720187 | Practice locations: Vernal, UT |
Skilled nursing facility certification: CCN 465092
- Legal name
- UINTAH HEALTH CARE SPECIAL SERVICE DISTRICT
- Doing business as
- UINTAH CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1984
- Last certification
- Sep 14, 2023
- Beds
- 110
- Ownership / control type
- County
- Organization structure
- Government
- Enrollment address
- 510 S 500 W
Vernal, UT 84078-4301 - Nursing home name
- UINTAH HEALTH CARE SPECIAL SERVICE DISTRICT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Uintah Health Care Special Service District
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Feb 1, 1984
- Medicare certification status
- Active
- Certified beds
- 110
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Physical Therapy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Vernal, UT
- NPI 1477658854
-
- Physical Therapy Clinic/Center
- Vernal, UT
- NPI 1316038854
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Richard Jolley | Managing Control - Governing Body | Jan 1, 2008 | |
| Indirect Ownership Interest | Jan 1, 2008 | ||
| Teresa Rimer | Managing Control - Governing Body | Mar 1, 2023 | |
| Indirect Ownership Interest | Mar 1, 2023 | ||
| Edward Long | Managing Control - Governing Body | Jan 1, 2025 | |
| Indirect Ownership Interest | Jan 1, 2025 | ||
| Robert D Hall | Managing Control - Governing Body | Jan 1, 2008 | |
| Indirect Ownership Interest | Jan 1, 2008 | ||
| Uintah Health Care Special Service District | Operational/Managerial Control | Feb 23, 2018 | |
| Alicen Hatch | Operational/Managerial Control | Feb 23, 2018 | |
| Adp of the SNF | May 8, 2025 | ||
| Indirect Ownership Interest | Feb 23, 2018 | ||
| Willis Joel Lefevre | Managing Control - Governing Body | Jan 1, 2025 | |
| Indirect Ownership Interest | Jan 1, 2025 | ||
| Douglas Clyde Rasmussen | Managing Control - Governing Body | Aug 1, 2019 | |
| Adp of the SNF | Aug 1, 2019 | ||
| Indirect Ownership Interest | Aug 1, 2019 | ||
| Kirk J Woodward | Managing Control - Governing Body | Feb 1, 2006 | |
| Adp of the SNF | May 8, 2025 | ||
| Indirect Ownership Interest | Feb 1, 2006 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Vernal, UT
- NPI 1811083348
Adp of the SNF, Indirect Ownership Interest, Managing Control - Governing Body
Practitioners & affiliated clinicians
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": "1121126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499299200000",
"number": "1215935432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 S 500 W",
"city": "VERNAL",
"state": "UT",
"postal_code": "840784301",
"telephone_number": "435-781-3505",
"fax_number": "435-789-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S 500 W",
"city": "VERNAL",
"state": "UT",
"postal_code": "840784301",
"telephone_number": "435-781-3500",
"fax_number": "435-789-3201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UINTAH HEALTH CARE SPECIAL SERVICE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-12",
"last_updated": "2017-07-06",
"status": "A",
"authorized_official_last_name": "DUNBAR",
"authorized_official_first_name": "WAYNE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "435-781-3511"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "UT",
"license": "2005-NCF-94",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "519160002004",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vernal, UT
- Uintah Basin Tri-County Mental Health and Substance Abuse Local Author
- Uintah Basin Tricounty Mental Health & Substance Abuse Local Authority
- Uintah Care Center
- Uintah Counseling
- Uintah County
- Uintah School District
- Uintah School District
- Destyni Upton, CSW
- Utah'S Children'S Justice Center Program
- Valley Family Clinic Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.