NPIMap

Organization Active NPI

Clancy Nursing and Rehab Center LLC

  • Skilled Nursing Facility
  • Clancy, MT
National Provider Identifier
1700495496
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CLANCY NURSING AND REHAB CENTER LLC
Practice address
474 Highway 282
Clancy, MT 59634-9519
Phone
(801) 601-1450
NPI assigned
Jul 28, 2020
Last updated
Oct 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Dustin Monroe
Title
General Counsel
Phone
(385) 240-6408

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Hearing and Speech Clinic/Center 261QH0700X NU
Physical Therapy Clinic/Center 261QP2000X NU
Occupational Medicine Clinic/Center 261QX0100X NU
Skilled Nursing Facility 314000000X NU Primary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

474 Highway 282
Clancy, MT 59634-9519

Mailing address

1376 E 3300 S
Salt Lake City, UT 84106-3069
Phone (801) 601-1450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201001002535 MT Part A Provider - Skilled Nursing Facility 7113346669 Practice locations: Clancy, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700495496. Details of each certification follow.

Skilled nursing facility certification: CCN 275056

Legal name
CLANCY NURSING AND REHAB CENTER LLC
Doing business as
ELKHORN HEALTHCARE AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 23, 1977
Last certification
Dec 19, 2024
Beds
70
Ownership / control type
Corporation
Multi-facility organization
Enduro Healthcare
Organization structure
LLCProprietary
Incorporated
Jul 7, 2020 in MT
Enrollment address
474 Highway 282
Clancy, MT 59634-9519
Nursing home name
ELKHORN HEALTHCARE AND REHABILITATION
Affiliated entity
EDURO HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Elkhorn Healthcare and RehabilitationCCN 275056 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 23, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7065.1 residents per day on average
Chain
Eduro Healthcare34 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Michael C Bewsey Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 50%
Corporate DirectorDirector Sep 1, 2020 100%
Indirect Ownership Interest Sep 1, 2020 100%
Bewsey Enterprises LLC Organization, Salt Lake City, UT LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2020 100%
Ecapital Healthcare Corp Organization, Aventura, FL Corporation, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Sep 1, 2020
Adp of the SNF Oct 8, 2025
Christopher M Thompson Individual Corporate OfficerCeo Sep 1, 2020
Operational/Managerial Control Sep 1, 2020
Managing Control - Governing Body Sep 1, 2020
Adp of the SNF Sep 1, 2020
Ctr Partnership LP Organization, San Clemente, CA For-profit Adp of the SNF Oct 8, 2025
Caretrust GP LLC Organization, San Clemente, CA For-profit Adp of the SNF Sep 1, 2020
Jacob Horn Individual Operational/Managerial Control Jan 31, 2022
Adp of the SNF Jan 31, 2022
Caretrust Reit Inc Organization, San Clemente, CA For-profit, Real estate investment trust (REIT) Adp of the SNF Sep 1, 2020
Heidi Williams Individual Managing Control - Governing Body Sep 1, 2020
Adp of the SNF Sep 1, 2020
Kathleen Moffitt Individual Operational/Managerial Control Sep 1, 2020
Adp of the SNF Sep 1, 2020
Dustin Monroe Individual Corporate OfficerSecretary Sep 1, 2020
Adp of the SNF Sep 1, 2020
Brenda McGaha Individual Operational/Managerial Control Sep 1, 2020
Adp of the SNF Sep 1, 2020
Karen L Kirkpatrick Individual Adp of the SNF Sep 18, 2023
Eduro Healthcare LLC Organization, Salt Lake City, UT LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Sep 1, 2020 100%
Adp of the SNF Sep 1, 2020
Direct Ownership Interest Sep 1, 2020 100%
WSRP, LLC Organization, Salt Lake City, UT LLC Operational/Managerial Control Sep 1, 2020
Adp of the SNF Oct 8, 2025
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Operational/Managerial Control Sep 1, 2020
Adp of the SNF Sep 1, 2020
Scott Butler Individual Operational/Managerial Control Feb 27, 2023
Adp of the SNF Feb 27, 2023
Allred Jackson, P.C. Organization, North Logan, UT Corporation Operational/Managerial Control Aug 1, 2022
Adp of the SNF Oct 8, 2025
Jenifer P Dodge Individual Operational/Managerial Control Sep 22, 2023
Adp of the SNF Sep 22, 2023
James Marsh Individual Corporate Officer Sep 1, 2020
Operational/Managerial Control Sep 1, 2020
Adp of the SNF Sep 1, 2020

Owners & managing parties with NPI records 1

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

Facilities with the same owner 97

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

View all 97

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 2

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": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1700495496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063069",
            "telephone_number": "801-601-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 HIGHWAY 282",
            "city": "CLANCY",
            "state": "MT",
            "postal_code": "596349519",
            "telephone_number": "801-601-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLANCY NURSING AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "385-240-6408"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clancy, MT

Sources for this page

Verify at the official NPI Registry.