Thatcher Brook Rehabilitation and Care Center LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

THATCHER BROOK REHABILITATION AND CARE CENTER LLC

Practice address

1795 Chelemes Way
Clearfield, UT 84015-6298

Phone

(801) 614-5700

Fax

(801) 614-5750

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Deven B Pettit

Title

Administrator/Owner

Phone

(801) 614-5700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Skilled nursing facility certification: CCN 465169

Legal name

THATCHER BROOK REHABILITATION AND CARE CENTER LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Apr 16, 2009

Last certification

Sep 27, 2023

Beds

30

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jan 19, 2007 in UT

Enrollment address

1795 Chelemes Way
Clearfield, UT 84015-6298

Nursing home name

THATCHER BROOK REHABILITATION & CARE CENTER

Listed as

Thatcher Brook Rehabilitation & Care CenterCCN 465169 · All quality measures

Overall star rating

5 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare

Ownership

For profit - Limited Liability company

Certified

Apr 16, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3027.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 8

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.

• Aaron S Anderson, M.D.

  • Family Medicine Physician
  • Lehi, UT
  • NPI 1730317348

  Adp of the SNF

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron S Anderson, M.D.

  • Family Medicine Physician
  • Lehi, UT
  • NPI 1730317348
  NPD (past)

Affiliated clinicians 2

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

• McKennan J. Thurston, MD

  • Sports Medicine (Family Medicine) Physician
  • Morgan, UT
  • NPI 1194088856

  Nursing home

  Care Compare affiliation
• Daniel Wightman, M.D.

  • Internal Medicine Physician
  • Park City, UT
  • NPI 1780003061

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1649454703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160528",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "84016",
            "telephone_number": "801-614-5700",
            "fax_number": "801-614-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 CHELEMES WAY",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840156298",
            "telephone_number": "801-614-5700",
            "fax_number": "801-614-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THATCHER BROOK REHABILITATION AND CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "DEVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "801-614-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Terry
• Thatcher Brook Hospice of Clearfield, LLC
• Thatcher Brook Hospice, LLC
• Thatcher Brook Medical Supply Inc.
• Thatcher Brook Outpatient Therapy LLC
• The Cove
• The Oral & Facial Surgery Center
• Shaden Thesen
• Georgio Thomas
• Carmen M Thompson, RN

• Nursing Facility/Intermediate Care Facility in Clearfield, UT
• Providers in Clearfield, UT by specialty
• Nursing Facility/Intermediate Care Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.