Organization Active NPI

Southridge Health and Rehab LLC

  • Skilled Nursing Facility
  • Pleasant Grove, UT
National Provider Identifier
1144127416
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOUTHRIDGE HEALTH AND REHAB LLC
Practice address
2100 W Pleasant Grove Blvd Ste 160
Pleasant Grove, UT 84062-3327
Phone
(385) 498-0194
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Wendy Anderson
Title
Corporate Business Officer
Phone
(385) 498-0194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2100 W Pleasant Grove Blvd Ste 160
Pleasant Grove, UT 84062-3327

Mailing address

2100 W Pleasant Grove Blvd Ste 160
Pleasant Grove, UT 84062-3327

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1144127416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W PLEASANT GROVE BLVD STE 160",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W PLEASANT GROVE BLVD STE 160",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623327",
            "telephone_number": "385-498-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHRIDGE HEALTH AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CORPORATE BUSINESS OFFICER",
        "authorized_official_telephone_number": "385-498-0194"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.