Ahc Ogden LLC
Organization Active NPI Skilled Nursing Facility · South Ogden, UT
NPI 1700822707 · NPPES record last updated Aug 3, 2026
Key facts
- NPI
- 1700822707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- AHC OGDEN LLC
- Practice address
- 1497 E Skyline Dr
South Ogden, UT 84405-4837 - Phone
- (801) 689-1600
- Fax
- (801) 689-1605
- NPI assigned
- Jun 20, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NEW AHC HOLDINGS LLC
Authorized official
- Name
- Nathan Oxnam
- Title
- President
- Phone
- (385) 622-4500
Owners & managing parties with NPI records 1
-
Tyler Mark Nixon, DO
Facilities with the same owner 40
Affiliated clinicians 3
-
Bentley R McEntire, M.D.
-
Jay Caesar Moreland, M.D.
-
Tyler Mark Nixon, DO
Medicare Care Compare: Nursing home
- Listed as
- Pine View Transitional Rehab
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 8, 2004
- Medicare certification status
- Active
- Certified beds
- 30 · 27.6 residents per day on average
- Chain
- Advanced Health Care
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D1020815 | Pine View Transitional Rehab | Certificate of waiver | Jan 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Skilled nursing facility certification: CCN 465155
- Legal name
- AHC OGDEN LLC
- Doing business as
- PINE VIEW TRANSITIONAL REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Mar 8, 2004
- Last certification
- Apr 16, 2025
- Beds
- 30
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Advanced Health Care
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1497 East Skyline Drive
Pine View Transitional Rehab
South Ogden, UT 84405-4837 - Nursing home name
- PINE VIEW TRANSITIONAL REHAB
- Affiliated entity
- ADVANCED HEALTH CARE
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Karen Gail Miller Irrev TR Fbo Zane Miller |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 5.1% |
| Tyler M Nixon |
Adp of the SNF | May 1, 2025 | |
| The Karen Gail Miller Irrevocable Trust for the Benefit of Stephen F. |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 5.1% |
| The Karen Gail Miller Irrevocable Trust for the Benefit of Roger L. Mi |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 5.1% |
| Advanced Health Care - Larry H Miller Corporation |
5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 100% |
| Ethan Olson |
Operational/Managerial Control | Apr 14, 2025 | |
| Adp of the SNF | May 5, 2025 | ||
| New Ahc Holdings, LLC |
5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 100% |
| Adp of the SNF | May 1, 2025 | ||
| Lhmsh LLC |
Adp of the SNF | Jan 1, 2024 | |
| The Bryan Miller Utah Dynasty Trust Dated April 22, 2014 |
Indirect Ownership Interest | Jan 1, 2024 | 3.8% |
| The G&H Miller Utah Trust Dated February 26, 2019 |
Indirect Ownership Interest | Jan 1, 2024 | 2.5% |
| The Gail Miller GST Trust |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 72.3% |
| The Karen Gail Miller Irrevocable Trust for the Benefit of Karen R. Wi |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 5.1% |
| |
Adp of the SNF | May 1, 2025 | |
| |
Adp of the SNF | May 5, 2025 | |
| Nathan C Oxnam |
Corporate Officer |
Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040112000383 | TX | Part a Provider - Skilled Nursing Facility | 8123928421 | Practice locations: South Ogden, UT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1497 E Skyline Dr
South Ogden, UT 84405-4837
Mailing address
1497 E Skyline Dr
South Ogden, UT 84405-4837
Phone (801) 689-1600
Other names
- Pine View Transitional Rehab
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Other providers in South Ogden, UT
- Abaecare, LLC
- Accent Smiles Dental Care
- Action Recovery Group, Inc.
- Advocate Hospice LLC
- Ahc Medical Supply, LLC
- Alan Brooks Crossroads
- Lance Albrechtsen
- Jessika Allen
- O. Kent Allen
- Scott Allen
All providers in South Ogden, UT · Skilled Nursing Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.