Organization Active NPI

Utah Valley Specialty Hospital Inc

  • Long Term Care Hospital
  • Provo, UT
National Provider Identifier
1760412530
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
UTAH VALLEY SPECIALTY HOSPITAL INC
Practice address
306 River Bend LN
Provo, UT 84604
Phone
(801) 226-8880
NPI assigned
Jul 4, 2006
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Denise Kann
Title
Vice President and Secretary
Phone
(972) 216-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X NU Primary

Addresses

Primary practice location

306 River Bend LN
Provo, UT 84604

Mailing address

1024 N Galloway Ave Ste 102
Mesquite, TX 75149-2434
Phone (972) 216-2299

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequesst_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061025000596 UT Part A Provider - Hospital 2769489251 Practice locations: Provo, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760412530. Details of each certification follow.

Hospital certification: CCN 462005

Legal name
UTAH VALLEY SPECIALTY HOSPITAL INC
Doing business as
UTAH VALLEY SPECIALTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jul 1, 2007
Last certification
May 27, 2010
Beds
40
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Nov 7, 2005 in DE
Enrollment address
306 River Bend LN
Provo, UT 84604-5625
Other Hospital Practice Location
Hospital subgroups
Long-term

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Utah Valley Specialty HospitalCCN 462005 · All quality measures
Ownership
For profit
Certified
Jul 1, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Beds
40

National Provider Directory

National Provider Directory
Tax ID family
Utah Valley Specialty Hospital Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Jacob S Socha Individual Corporate OfficerPresident Jun 1, 2023
One Equity Partners VII-B LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 4, 2018 12.4%
Ernest Health, Inc Organization, Mesquite, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Nov 7, 2005 100%
Other Jun 1, 2023
Epoch Parent Inc Organization, New York, NY Created for acquisition, Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2018 100%
One Equity Partners VII LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 4, 2018 58%
Epoch Parent Holdings LLC Organization, New York, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2018 100%
Ernest Health Holdings LLC Organization, Mesquite, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 29, 2012 100%
Bradley Dinkel Individual W-2 Managing EmployeeHospital Administrator Oct 19, 2025
Epoch Midco, Inc Organization, New York, NY Created for acquisition, Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2018 100%
Capital One NA Organization, MC Lean, VA Corporation, Investment firm 5% Or Greater Security Interest Oct 4, 2018 59%
Eudora Cannon Individual Corporate OfficerVice President Jun 1, 2023
Other Jun 1, 2023
MPT of Provo, LLC Organization, Vestavia, AL LLC, Investment firm, For-profit 5% Or Greater Security Interest Jan 1, 2019 41%
One Equity Partners VII-a LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 4, 2018 29.7%
Caleb Reed Individual Corporate OfficerTreasurer Jun 1, 2023
Denise a Kann Individual Corporate OfficerVice President, Secretary Jun 1, 2023
Epoch Acquisition Inc Organization, New York, NY Created for acquisition, Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2018 100%

Facilities with the same owner 40

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

View all 40

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1760412530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N GALLOWAY AVE STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492434",
            "telephone_number": "972-216-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 RIVER BEND LN",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-226-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH VALLEY SPECIALTY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "KANN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "972-216-2299"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequesst_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMd eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.