Sunshine Terrace Skilled Nursing – Skilled Nursing Facility, NPI 1063194876

Sunshine Terrace Skilled Nursing is a healthcare provider. based in Logan, Utah. specializing in Skilled Nursing Facility. The NPI Number for Sunshine Terrace Skilled Nursing is 1063194876

Main info

Organization
Name
Sunshine Terrace Skilled Nursing
NPI
1063194876
Phone
(435) 754-0218
Address
248 W 300 N
Authorized Official
BRYAN ERICKSON CEO
Enumeration Date
1 August 2023
Last Update Date
1 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness80
Years active:2State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Sunshine Terrace Skilled Nursing

  • 248 W 300 N

    LOGAN, UT 843213810

    Phone: (435) 754-0218

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20240103002038OSkilled Nursing FacilityUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84321)

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Reviews

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Frequently asked questions

How do I look up Sunshine Terrace Skilled Nursing by NPI?
Use NPI 1063194876 when you need to reference Sunshine Terrace Skilled Nursing in forms, claims, or directories.
Is Sunshine Terrace Skilled Nursing currently active in the NPI registry?
CMS-published data lists Sunshine Terrace Skilled Nursing as an active registrant.
What field does Sunshine Terrace Skilled Nursing work in?
You can think of Sunshine Terrace Skilled Nursing as practicing within Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Where is Sunshine Terrace Skilled Nursing's primary listing?
We display Logan, Utah because that is what the record indicates for Sunshine Terrace Skilled Nursing.
What if Logan, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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