NPIMap

Organization Active NPI

Country Meadow SNF LC

  • Skilled Nursing Facility
  • Ogden, UT
National Provider Identifier
1386744183
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2005-NCF-63181 Issued in UT
Legal business name
COUNTRY MEADOW SNF LC
Practice address
5865 S. Wasatch Drive
Ogden, UT 84403-5209
Phone
(801) 479-8480
Fax
(801) 479-5253
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Evangeline Boden, HFA
Title
Business Manager
Phone
(801) 479-8480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2005-NCF-63181 UT Primary

Addresses

Primary practice location

5865 S. Wasatch Drive
Ogden, UT 84403-5209

Mailing address

5865 S. Wasatch Drive
Ogden, UT 84403-5209
Phone (801) 479-8480

Other names 1

  • Mountain View Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001683 UT Part A Provider - Skilled Nursing Facility 8921079419 Practice locations: Ogden, UT

Skilled nursing facility certification: CCN 465086

Legal name
COUNTRY MEADOW SNF LC
Doing business as
MOUNTAIN VIEW HEALTH SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 4, 1981
Last certification
Aug 14, 2024
Beds
155
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
5865 South Wasatch Drive
Ogden, UT 84403-5209
Nursing home name
MOUNTAIN VIEW HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mountain View Health ServicesCCN 465086
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 4, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15537.3 residents per day on average
Special focus status
SFF
Penalties (3 years)
5Fines totaling $150,781

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Evangeline Boden Individual 5% Or Greater Direct Ownership Interest Dec 31, 2009
Operational/Managerial Control Dec 31, 2009
Country Meadow SNF LC Organization, Ogden, UT 5% Or Greater Direct Ownership Interest Aug 1, 2004
Operational/Managerial Control Aug 1, 2004

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1386744183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 S. WASATCH DRIVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035209",
            "telephone_number": "801-479-8480",
            "fax_number": "801-479-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 S. WASATCH DRIVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035209",
            "telephone_number": "801-479-8480",
            "fax_number": "801-479-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY MEADOW SNF LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "BODEN",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "801-479-8480",
        "authorized_official_credential": "HFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2005-NCF-63181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.