South Ogden Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SOUTH OGDEN OPERATIONS, LLC

Doing business as

Avamere at Mountain Ridge

Practice address

1885 E Skyline Dr
South Ogden, UT 84403-5362

Phone

(801) 452-7133

NPI assigned

Mar 20, 2019

Last updated

Mar 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris Olson

Title

Senior Paralegal

Phone

(503) 570-3405

Specialties & licenses 1

Addresses

Other names 1

• Avamere at Mountain Ridge Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1609336395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 E SKYLINE DR",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 E SKYLINE DR",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035362",
            "telephone_number": "801-452-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH OGDEN OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "SENIOR PARALEGAL",
        "authorized_official_telephone_number": "503-570-3405"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avamere at Mountain Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debbie Jean Smith, LCSW
• Hailey Smith, RBT
• Lori Smith
• Megan Davis Smith, BCBA
• South Ogden City Corporation
• South Ogden Smiles, PC
• South Ogden Specialty Surgical Center, LLC
• Specialized Optical Company
• Stephen Reese Spencer, PT
• Fereti Spitzenberg Jr.

• Assisted Living Facility in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Assisted Living Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.