Sunflower Ridge Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNFLOWER RIDGE ASSISTED LIVING

Doing business as

Spring Water Residential Assisted Living

Practice address

41 E Center St
Centerville, UT 84014-2244

Phone

(801) 404-1632

Fax

(323) 389-2733

NPI assigned

Apr 11, 2024

Organization subpart

No

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

Authorized official

Name

Cory Kenneth Ross

Title

Owner

Phone

(801) 404-1632

Specialties & licenses 1

Addresses

Other names 1

• Spring Water Residential Assisted Living Doing business as

Locations

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1912750506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E CENTER ST",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840142244",
            "telephone_number": "801-404-1632",
            "fax_number": "323-389-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E CENTER ST",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840142244",
            "telephone_number": "801-404-1632",
            "fax_number": "323-389-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER RIDGE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-404-1632"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Water Residential Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Steed, LCSW
• Scott Stephens
• Steven C. Lore, M.D., P.L.L.C. (Lore Family Medicine)
• Brian Michael Stokes, FNP-C
• Stressout PLLC
• Anne Swanberg, AU.D.
• Kaziah Marie Taft
• Karen Beth Talbot, LCSW
• Melanie Taurarii, ATC
• Saharnaz Tehranchi, DMD

• Assisted Living Facility in Centerville, UT
• Providers in Centerville, 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 Apr 11, 2024; 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.