Organization Active NPI

Mountain View Retirement, Inc.

  • Assisted Living Facility
  • Orem, UT
National Provider Identifier
1376983312
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2013-ALI-UT207208 Issued in UT
Legal business name
MOUNTAIN VIEW RETIREMENT, INC.
Practice address
960 S Geneva Rd
Orem, UT 84058-5847
Phone
(801) 225-6559
Fax
(801) 225-0372
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2013-ALI-UT207208 UT Primary
Assisted Living Facility 310400000X 2013-ALII-UT207236 UT

Addresses

Primary practice location

960 S Geneva Rd
Orem, UT 84058-5847

Mailing address

960 S Geneva Rd
Orem, UT 84058-5847
Phone (801) 225-6559

Other names 1

  • Lake Ridge Senior Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2199975Lake Ridge Senior Living960 South Geneva Road, Orem, UT 84058Certificate of waiverNov 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Lake Ridge Senior Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1376983312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 S GENEVA RD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585847",
            "telephone_number": "801-225-6559",
            "fax_number": "801-225-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 S GENEVA RD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585847",
            "telephone_number": "801-225-6559",
            "fax_number": "801-225-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW RETIREMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2013-ALI-UT207208",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2013-ALII-UT207236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Ridge Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.