Kane County Human Resource Special Service District
Organization Active NPI Skilled Nursing Facility · Cedar City, UT
NPI 1720127608 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1720127608
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 870528143006 (UT)
- Legal business name
- KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT
- Practice address
- 333 West 1425 North
Cedar City, UT 84720 - Phone
- (435) 267-1700
- Fax
- (435) 267-1699
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Cory Robison
- Title
- Manager
- Phone
- (801) 358-7625
Owners & managing parties with NPI records 8
Owned or controlled facilities with NPI records 6
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 16
Facilities with the same owner 5
Practitioners 37
-
Lance O. Allen, D. O.
-
Aaron Steele Asay, PA-C
-
Jonathan Craig Bowman, M.D.
-
Brent A Clark, D.P.M.
-
Joshua David Holyoak, M.D.
-
Deborah J Quient, PA
-
Jeffrey Lee Stewart, DPM
-
Christa J Werlinger, FNP
-
Aaron Todd Benner, M.D.
-
Samuel W Bergin, M.D.
-
Tamara Carroll, M.D.
-
Mark Lewis Epstein, M.D.
-
Justin R Fenus, JUSTIN FENUS
-
Gautham Reddy Kandukuri, M.D.
-
Jonathan Larson, M.D.
Affiliated clinicians 2
-
Garrett Ray Galt, FNP-C
Medicare Care Compare: Nursing home
- Listed as
- Stonehenge of Cedar City
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 1, 2003
- Medicare certification status
- Active
- Certified beds
- 50 · 43.2 residents per day on average
- Chain
- Stonehenge of Utah
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D1006682 | Stonehenge of Cedar City | Certificate of waiver | Nov 25, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT
Skilled nursing facility certification: CCN 465153
- Legal name
- KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT
- Doing business as
- STONEHENGE OF CEDAR CITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- May 1, 2003
- Last certification
- Nov 30, 2023
- Beds
- 50
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Avebury Healthcare LLC
- Organization structure
- Other · Non-profit
- Enrollment address
- 333 W 1425 N
Cedar City, UT 84721-8872 - Nursing home name
- STONEHENGE OF CEDAR CITY
- Affiliated entity
- STONEHENGE OF UTAH
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Avebury Healthcare LLC |
Operational/Managerial Control | Nov 1, 2025 | |
| Adp of the SNF | Mar 5, 2026 | ||
| Kent Stemmons |
Operational/Managerial Control | Oct 25, 2021 | |
| Adp of the SNF | Oct 25, 2021 | ||
| Ensign Services Inc |
Adp of the SNF | Nov 1, 2025 | |
| Kane County Human Resource Special Service District |
5% Or Greater Direct Ownership Interest | Dec 11, 2017 | 100% |
| Operational/Managerial Control | Oct 25, 2021 | ||
| Adp of the SNF | Apr 30, 2026 | ||
| Deborah Ann Gillespie |
Operational/Managerial Control | Oct 25, 2021 | |
| Adp of the SNF | Oct 25, 2021 | ||
| Stonehenge of Cedar Cityut Inc |
Operational/Managerial Control | Oct 25, 2021 | 100% |
| Kurt R Loveless |
Corporate Officer |
Oct 25, 2021 | 100% |
| Operational/Managerial Control |
Oct 25, 2021 | 100% | |
| Adp of the SNF | Oct 25, 2021 | ||
| Stephen J Howells |
Corporate Officer |
Dec 20, 1992 | |
| Operational/Managerial Control | Oct 25, 2021 | ||
| Adp of the SNF | Oct 25, 2021 | ||
| Steven R Newman |
Operational/Managerial Control | Aug 19, 2019 | |
| Adp of the SNF | Aug 19, 2019 |
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Kane County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1989 Sep 1, 1989 |
| Kane County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1989 Sep 1, 1989 |
| Stonehenge of American Fork |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Dec 11, 2017 Oct 25, 2021 Sep 9, 2025 |
| Stonehenge of Springville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF Indirect Ownership Interest |
Dec 11, 2017 Oct 25, 2021 Feb 26, 2025 Oct 25, 2021 |
| Stonehenge of Richfield |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF Indirect Ownership Interest |
Dec 11, 2017 Dec 11, 2017 Feb 26, 2025 Oct 25, 2021 |
| Stonehenge of Ogden |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Direct Ownership Interest |
Dec 11, 2017 Dec 11, 2017 Dec 11, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040309000209 | UT | Part B Supplier - Clinic/Group Practice | 5092603316 |
Receives reassigned benefits from 48 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Springville, UT; Washington Terrace, UT; Richfield, UT; Orderville, UT; Kanab, UT; Cedar City, UT; American Fork, UT |
| O20180123001333 | UT | Part a Provider - Skilled Nursing Facility | 5092603316 | Practice locations: Cedar City, UT |
National Provider Directory
- Tax ID family
- Jonathan C Bowman MD
Locations
36 S 400 W
Ste 101
Orem, UT 84058
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 870528143006 | UT | Yes |
Addresses
Primary practice location
333 West 1425 North
Cedar City, UT 84720
Mailing address
36 S 400 W Ste 101
Orem, UT 84058-5359
Phone (801) 960-9000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870528143006 | Medicaid | UT |
Other names
- Stonehenge of Cedar City
- IRON COUNTY NURSING HOME INC
Other providers in Cedar City, UT
- Marjorie B June
- Delaynie Justesen
- Noeun Ka
- Aimee Kaiser
- Kane County Hospital Human Resource Special Service District
- Faelynn Kartchner
- Nathan Kartchner
- Amy Amelia Kastanes-Lister
- Joseph Arnold Kaufman
- Atwood Kaufusi
All providers in Cedar City, 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 Jun 16, 2018. 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.