Organization Active NPI

Southridge Estates LLC

  • Custodial Care Facility
  • Pleasant Grove, UT
National Provider Identifier
1447157862
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
SOUTHRIDGE ESTATES LLC
Practice address
2100 W Pleasant Grove Blvd Ste 160
Pleasant Grove, UT 84062-3327
Phone
(385) 498-0194
NPI assigned
Oct 20, 2026
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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
Custodial Care Facility 311Z00000X 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": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1447157862",
    "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 ESTATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "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": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care 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 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.