COUNTRY PINES RETIREMENT HOME NPI 1992866024

NPI Information

  • NPI: 1992866024
  • Provider Name: COUNTRY PINES RETIREMENT HOME
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 46D2205274
  • Address: 1748 W 1800 N
    CLINTON, UT
    ZIP 84015
  • Phone: (801) 773-1649

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NPI Details

COUNTRY PINES RETIREMENT HOME is an assisted living facility in Clinton, UT. The provider is 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. COUNTRY PINES RETIREMENT HOME NPI is 1992866024. The provider is registered as an organization entity type.

The provider's business location address is:

1748 W 1800 N
CLINTON, UT
ZIP 84015-324
Phone: (801) 773-1649

The provider's authorized official is Sarah Petersen .
The authorized official title is Director Of Nursing and has the following contact phone number (801) 773-1649.

The CLIA number assigned to this NPI record is 46D2205274 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility2006-AL1-540UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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