Mesa Vista Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

2006-NCF-551 Issued in UT

Legal business name

MESA VISTA INC

Practice address

394 W 400 N
Orem, UT 84057-4663

Phone

(801) 225-9292

Fax

(801) 221-7617

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Karen A Root

Title

Owner/Administrator

Phone

(801) 225-9292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457318917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 W 400 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574663",
            "telephone_number": "801-225-9292",
            "fax_number": "801-221-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 W 400 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574663",
            "telephone_number": "801-225-9292",
            "fax_number": "801-221-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA VISTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "801-225-9292"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "UT",
            "license": "2006-NCF-551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Merrell
• Taya Merrell
• Brooke Gibbons Merrill, PMHNP-BC
• Megan Anne Merrill
• Berkley Merzlock
• Jeremy Owen Meservy
• Kylah Mestanza
• Allison Meyer
• Darshelle Meyer
• Mallory Meyer

• Intellectual Disabilities Intermediate Care Facility in Orem, UT
• Providers in Orem, UT by specialty
• Intellectual Disabilities Intermediate Care Facility in Utah

• 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.