ALTA RIDGE ASSISTED LIVING (NPI# 1588727960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588727960 |
| Entity Type | Organization |
| Organization Name | ALTA RIDGE ASSISTED LIVING |
| Practice Address |
1360 E 9400 S Sandy UT 84093-2960 |
| Practice Telephone | 8015711010 |
| Practice Fax Number | 8015761372 |
| Mailing Telephone | 8015711010 |
| Mailing Fax Number | 8015761372 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GUY MENDENHALL (MANAGING PARTNER) |
| Authorized Official Telephone | 8015711010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 2006-ALII-6660 | UT | Nursing & Custodial Care Facilities |
| Street Address |
1360 E 9400 S |
| City | SANDY |
| State | UT |
| Zip Code | 84093-2960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952923286 | Jacob Matthew Cowley | Nurse's Aide | 1360 E 9400 S, Sandy, UT 84093-2960 | 2020-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830674 | Maren Vanwagoner Ferre | Nurse Practitioner | 1455 E Quail Stream Ln, Cottonwood Heights, UT 84093 | 2020-01-22 |
| 1154820041 | Cassandra Bringhurst | Music Therapist | 8261 S Viscounti Dr., Sandy, UT 84093 | 2018-02-06 |
| 1518480540 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8645 S Highland Dr, Sandy, UT 84093 | 2017-07-21 |
| 1457881955 | Valor Psychological Services, LLC | Psychologist | 8160 S Highland Dr Ste C104, Sandy, UT 84093 | 2017-06-16 |
| 1700279197 | Russell G. Lewis | Dentist | 1434 E. 9400 S. Ste 201, Sandy, UT 84093 | 2015-03-10 |
| 1568771350 | Susan Lynn Nikola | Pharmacist | 8745 S. Highland Dr, Sandy, UT 84093 | 2010-09-28 |
| 1659696227 | Pamela Elizabeth Boyleston | Nurse Anesthetist, Certified Registered | 2628 Partridge Way, Sandy, UT 84093 | 2010-04-07 |
| 1700025582 | Kirk Madson Neuberger | Surgery | 9181 Wedgefield Dr., Sandy, UT 84093 | 2009-02-18 |
| 1326230392 | Sunrie Sandy Senior Living LLC | Assisted Living Facility | 2101 E 9400 S, Sandy, TN 84093 | 2007-08-14 |
| 1497870588 | Chandra Lee Roberson | Counselor | 8188 So. Highland Drive, Suite D-4, Sandy, UT 84093 | 2007-03-20 |
| Find all providers in zip 84093 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518398965 | Utnv Willow Creek, LLC | Assisted Living Facility | 8325 S Highland Dr, Sandy, UT 84093-1000 | 2013-12-11 |
| 1477981025 | Countrycare Homes LLC | Assisted Living Facility | 465 E Sego Lily Dr, Sandy, UT 84070-3547 | 2013-10-17 |
| 1215173109 | Superior Assisted Living of Bell Canyon | Assisted Living Facility | 2270 High Mountain Dr, Sandy, UT 84092-5509 | 2008-12-23 |
| 1326230392 | Sunrie Sandy Senior Living LLC | Assisted Living Facility | 2101 E 9400 S, Sandy, TN 84093 | 2007-08-14 |
| 1053515163 | A98 Senior, LLC | Assisted Living Facility | 10970 S 700 E, Sandy, UT 84070-4934 | 2007-06-13 |
| 1235268202 | Superior Assisted Living LLC | Assisted Living Facility | 2499 Charros Rd, Sandy, UT 84092-4815 | 2007-03-05 |
| 1275689606 | Our House of West Sandy | Assisted Living Facility | 115 W 9400 S, Sandy, UT 84070-2632 | 2007-01-26 |
| 1578619995 | Our House of East Sandy | Assisted Living Facility | 8670 Vauna Lee St, Sandy, UT 84093-1530 | 2007-01-26 |
| 1306901194 | Smc Willow Creek, LLC | Assisted Living Facility | 8325 Highland Dr, Sandy, UT 84093-1000 | 2006-12-22 |
| 1538186341 | Avamere Sandy Operations, LLC | Assisted Living Facility | 17727 Se Langensand Rd, Sandy, OR 97055-6487 | 2006-07-16 |
| Find all providers in SANDY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.