Organization Active NPI

CHP Layton Ut Tenant Corp

  • Skilled Nursing Facility
  • Layton, UT
National Provider Identifier
1780088385
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2015-NCF-UT000437 Issued in UT
Legal business name
CHP LAYTON UT TENANT CORP
Doing business as
Fairfield Village Rehabilition
Practice address
1203 N Fairfield Rd
Layton, UT 84041-8321
Phone
(801) 807-0111
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Kevin Ray Maddron
Title
Senior Vice President
Phone
(407) 540-7519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2015-NCF-UT000437 UT Primary

Addresses

Primary practice location

1203 N Fairfield Rd
Layton, UT 84041-8321

Mailing address

450 S Orange Ave
Orlando, FL 32801-3383
Phone (407) 540-7652

Other names 1

  • Fairfield Village Rehabilition Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141218000750 UT Part A Provider - Skilled Nursing Facility 0941523203 Practice locations: Layton, UT

Skilled nursing facility certification: CCN 465174

Legal name
CHP LAYTON UT TENANT CORP
Doing business as
FAIRFIELD VILLAGE REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Dec 2, 2010
Last certification
Jan 8, 2025
Beds
40
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Generations, LLC, CHP Layton Tenant Corp
Most recent change of ownership
Nov 20, 2014
Organization structure
CorporationProprietary
Incorporated
Oct 1, 2014 in DE
Enrollment address
1205 N Fairfield Rd
Layton, UT 84041-8300
Nursing home name
FAIRFIELD VILLAGE REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fairfield Village RehabilitationCCN 465174 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Dec 2, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4032.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
CHP TRS Holding Inc Organization, Orlando, FL Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2014 100%
Kristin Paige Walker Individual Operational/Managerial Control Jan 15, 2016
Adp of the SNF Jan 15, 2016
Organization, Orlando, FL LLC Adp of the SNF Nov 20, 2014
Kevin Detz Individual Corporate OfficerChief Financial Officer Mar 11, 2026
Tabitha Bailey Individual Corporate OfficerVice President and Secretary Mar 11, 2026
Corporate Director Mar 11, 2026
Operational/Managerial Control Mar 11, 2026
SSL Sparti LLC Organization, Dallas, TX Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 11, 2026
Adp of the SNF Mar 11, 2026
Indirect Ownership Interest Mar 11, 2026
Michael L Beus Individual Operational/Managerial Control Jul 1, 2015
Adp of the SNF Jul 1, 2015
Chad Herrick Individual Operational/Managerial Control Dec 28, 2022
Managing Control - Governing BodyCommunity Senior Executive Director Dec 28, 2022
Adp of the SNF Dec 28, 2022
Brandon M Ribar Individual Corporate OfficerCeo and President Mar 11, 2026
Corporate Director Mar 11, 2026
Operational/Managerial Control Mar 11, 2026
Jodi L Langhorst Individual Operational/Managerial Control Mar 25, 2025
Adp of the SNF Jan 1, 2025
Timothy Cober Individual Corporate OfficerVice President Mar 11, 2026
Organization, Orlando, FL Adp of the SNF Nov 20, 2014
Capital Senior Living Corporation Organization, Dallas, TX Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 11, 2026
Operational/Managerial Control Mar 11, 2026
Adp of the SNF Mar 11, 2026
Indirect Ownership Interest Mar 11, 2026
Kathleen C Levee Individual Operational/Managerial Control Aug 1, 2020
Adp of the SNF Aug 1, 2020
Kristin Elaine Porm Individual Operational/Managerial Control Mar 17, 2015
Managing Control - Governing BodySNF Administrator Mar 17, 2015
Adp of the SNF Mar 17, 2015
Generations, L.L.C Organization, Clackamas, OR LLC, Management services company, For-profit Adp of the SNF Nov 20, 2014
SSL Sparti Property Holdings Inc. Organization, Dallas, TX Created for acquisition, Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 11, 2026
Adp of the SNF Mar 11, 2026
Indirect Ownership Interest Mar 11, 2026

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1780088385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013383",
            "telephone_number": "407-540-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 N FAIRFIELD RD",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840418321",
            "telephone_number": "801-807-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHP LAYTON UT TENANT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "MADDRON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "407-540-7519"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2015-NCF-UT000437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield Village Rehabilition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.