Organization Active NPI

Villa at River Ridge

  • Assisted Living Facility
  • American Fork, UT
National Provider Identifier
1376326595
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VILLA AT RIVER RIDGE
Practice address
947 S 500 E Ste 105
American Fork, UT 84003-3392
Phone
(385) 492-0194
NPI assigned
Aug 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

947 S 500 E Ste 105
American Fork, UT 84003-3392

Mailing address

1415 Yellowstone River Rd
Billings, MT 59105-1834
Phone (406) 245-9330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1376326595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 YELLOWSTONE RIVER RD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591051834",
            "telephone_number": "406-245-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 S 500 E STE 105",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033392",
            "telephone_number": "385-492-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA AT RIVER RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "385-498-0195"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.