Beaver Valley Hospital
Organization Active NPI Community Based Hospice Care Agency · Beaver, UT
NPI 1720099229 · NPPES record last updated Apr 24, 2013
Key facts
- NPI
- 1720099229
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 2005-HOSPICE-63766 (UT)
- Legal business name
- BEAVER VALLEY HOSPITAL
- Practice address
- 1109 N 100 West
Beaver, UT 84713-1670 - Phone
- (435) 438-7100
- Fax
- (435) 438-7166
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Craig Val Davidson
- Title
- Administrator
- Phone
- (435) 438-7101
Corporate family (same tax ID) 24
Facilities with the same owner 9
Affiliated clinicians 2
-
Richard Wade Oakden, M.D.
-
Lance Clyde Smith, M.D.
Medicare Care Compare: Hospice
- Listed as
- Beaver Valley Hospice
- Ownership
- Government
- Certified
- Dec 16, 2004
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Hospice certification: CCN 461544
- Legal name
- BEAVER VALLEY HOSPITAL
- Doing business as
- BEAVER VALLEY HOSPITAL HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 16, 2004
- Last certification
- Jan 28, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Government · Non-profit
- Enrollment address
- 1109 N 100 W
Beaver, UT 84713-7746
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Beaver City Corporation |
5% Or Greater Direct Ownership Interest | Jul 1, 1966 | 100% |
| Scott a Langford |
Corporate Officer |
Jul 1, 2017 | 100% |
| Tyler Moss |
Corporate Officer |
Jul 1, 2017 | 100% |
| W-2 Managing Employee |
Jul 1, 2017 | 100% |
All facility ownership & control disclosures 32
| Facility | Type | Role | Since |
|---|---|---|---|
| Red Cliffs Health and Rehab |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 18, 2018 Sep 18, 2018 |
| Sandy Health and Rehab |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Feb 1, 2015 Sep 18, 2028 |
| Four Corners Regional Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2015 |
| Parkdale Health and Rehab |
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 Center |
Skilled nursing facility | Operational/Managerial Control Direct Ownership Interest (100%) |
Sep 18, 2018 Sep 18, 2018 |
| South Ogden Post Acute |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Nov 1, 2015 Aug 29, 2025 |
| Meadowbrook Rehabilitation and Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2015 |
| Spanish Fork Rehabilitation and Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Nov 1, 2015 Nov 1, 2015 |
| Millcreek Rehabilitation and Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2015 |
| Cedar Health and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2019 |
| Bella Terra St George |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Feb 2, 2016 Feb 2, 2016 |
| City Creek Post Acute |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Hurricane Health and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Orem Rehabilitation and Nursing Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Paramount Health and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Pinnacle Nursing and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Provo Rehabilitation and Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Copper Ridge Health Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Draper Rehabilitation and Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| St Joseph Villa |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Mt. Ogden Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Holladay Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Cascades at Orchard Park |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jul 19, 2016 Sep 18, 2028 |
| St George Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2016 |
| Crestwood Rehabilitation and Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2016 |
| Cascades at Riverwalk |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Sep 18, 2018 Jul 1, 2017 Sep 18, 2018 |
| Highland Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 29, 2017 |
| Heritage Park Healthcare and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2017 |
| Pointe Meadows Health and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 2, 2019 |
| The Terrace Transitional |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2019 |
| Alpine Meadow Rehabilitation and Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jul 19, 2016 Jul 19, 2016 |
| Monument Healthcare Millcreek |
Skilled nursing facility | Operational/Managerial Control | Dec 6, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040811000897 | UT | Part a Provider - Hospice | 2769376326 | Practice locations: Beaver, UT |
National Provider Directory
- Tax ID family
- B N Robinson MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 2005-HOSPICE-63766 | UT | Yes |
Addresses
Primary practice location
1109 N 100 West
Beaver, UT 84713-1670
Mailing address
PO Box 1670
Beaver, UT 84713-1670
Phone (435) 438-7100
Other providers in Beaver, UT
- Beaver Medical, LLC
- Beaver Valley Hospital
- Beaver Valley Hospital
- Beaver Valley Hospital
- Beaver Valley Hospital
- Beaver Valley Pharmacy Services Inc
- Haily J Carter
- Lindsay Ann Cheney
- Doris Gale Cowan
- David R. Albrecht O.D. P.C.
All providers in Beaver, UT · Community Based Hospice Care Agency in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2013. 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.