Organization Active NPI

Valle Vista Rehabilitation and Nursing LLC

  • Skilled Nursing Facility
  • Lewistown, MT
National Provider Identifier
1821781931
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VALLE VISTA REHABILITATION AND NURSING LLC
Practice address
402 Summit Ave
Lewistown, MT 59457-3247
Phone
(406) 538-8775
NPI assigned
Jun 2, 2023
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Walter Eric Myers
Title
Member
Phone
(385) 498-0195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

402 Summit Ave
Lewistown, MT 59457-3247

Mailing address

402 Summit Ave
Lewistown, MT 59457-3247
Phone (406) 538-8775

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231005001066 MT Part A Provider - Skilled Nursing Facility 2961857339 Practice locations: Lewistown, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821781931. Details of each certification follow.

Skilled nursing facility certification: CCN 275021

Legal name
VALLE VISTA REHABILITATION AND NURSING LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1970
Last certification
May 20, 2025
Beds
101
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cottonwood Healthcare
Organization structure
LLCProprietary
Incorporated
Apr 27, 2023 in MT
Enrollment address
402 Summit Ave
Lewistown, MT 59457-3247
Nursing home name
VALLE VISTA REHABILITATION AND NURSING LLC
Affiliated entity
THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Valle Vista Rehabilitation and Nursing LLCCCN 275021 · 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 and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10153.3 residents per day on average
Chain
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers19 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

402 Summit Ave
Lewistown, MT 59457
Phone (406) 538-8775

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Holly Swain Individual 5% Or Greater Indirect Ownership InterestLimited Partner Jul 1, 2023 14.16%
Jared E Swain Individual 5% Or Greater Indirect Ownership InterestPartner Jul 1, 2023 14.75%
Serene Swain Individual 5% Or Greater Indirect Ownership InterestMember Jul 1, 2023 1.5%
Wendy Anderson Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Charly Bello Family Limited Partnership Organization, American Fork, UT Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 29.5%
Michael E Sura Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Professional Business Advisors LLC Organization, Woods Cross, UT LLC Operational/Managerial Control Jul 1, 2023
Adp of the SNF May 12, 2025
Steve McFadden Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Wipfli LLP Organization, Saint Charles, MO Corporation Operational/Managerial Control Jul 1, 2023
Adp of the SNF May 12, 2025
Maze Family Limited Partnership Organization, Provo, UT Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 42.5%
Cashmer LLC Organization, Kaysville, UT LLC, Owned by another organization or individual Direct Ownership Interest Jul 1, 2023 3%
Walter E Myers Individual 5% Or Greater Indirect Ownership InterestGeneral Partner and Limited Partner Jul 1, 2023 20.8%
Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Kristin Fey Individual 5% Or Greater Indirect Ownership InterestLimited Partner Jul 1, 2023 23.5%
Cottonwood Healthcare LLC Organization, American Fork, UT LLC Operational/Managerial Control Jul 1, 2023
Adp of the SNF May 12, 2025
Daniel Fey Individual Indirect Ownership Interest Jul 1, 2023 0.25%
Dover Ruxpin Family Limited Partnership Organization, Provo, UT Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 25%
Katie Myers Individual 5% Or Greater Indirect Ownership InterestLimited Partner Jul 1, 2023 19.97%
Cameron Swain Individual 5% Or Greater Indirect Ownership InterestMember Jul 1, 2023 1.5%
Organization, Sandy, UT Financial institution Adp of the SNF Apr 22, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 83

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

View all 83

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1821781931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SUMMIT AVE",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594573247",
            "telephone_number": "406-538-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SUMMIT AVE",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594573247",
            "telephone_number": "406-538-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLE VISTA REHABILITATION AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "385-498-0195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, MT

Sources for this page

Verify at the official NPI Registry.