Organization Active NPI

Mountain Ridge Assisted Liiving

  • Assisted Living Facility
  • South Ogden, UT
National Provider Identifier
1366575482
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MOUNTAIN RIDGE ASSISTED LIIVING
Practice address
1885 Skyline Dr
South Ogden, UT 84403-5362
Phone
(801) 475-5111
Fax
(801) 475-1884
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Andrea Thorpe
Title
Business Office Director
Phone
(801) 475-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X UT Primary

Addresses

Primary practice location

1885 Skyline Dr
South Ogden, UT 84403-5362

Mailing address

1885 Skyline Dr
South Ogden, UT 84403-5362
Phone (801) 475-5111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366575482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 SKYLINE DR",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035362",
            "telephone_number": "801-475-5111",
            "fax_number": "801-475-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 SKYLINE DR",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035362",
            "telephone_number": "801-475-5111",
            "fax_number": "801-475-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN RIDGE ASSISTED LIIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "801-475-5111"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.