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COUNTRY PINES MEMORY CARE LLC NPI 1336694546


NPI Information

NPI: 1336694546
Provider Name: COUNTRY PINES MEMORY CARE, LLC

Doing Business As: COUNTRY PINES MEMORY CARE

Classification: Alzheimer Center (Dementia Center) - 311500000X
Entity Type: Organization
Address:
1748 W 1800 N
CLINTON, UT
ZIP 84015
Phone: (801) 774-9198
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COUNTRY PINES MEMORY CARE, LLC is an alzheimer center dementia center in Clinton, UT. The provider is a freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. COUNTRY PINES MEMORY CARE, LLC NPI is 1336694546. The provider is registered as an organization entity type.
The provider Is Doing Business As Country Pines Memory Care.

The provider's business location address is:

1748 W 1800 N
CLINTON, UT
ZIP 84015-324
Phone: (801) 774-9198
Fax: (801) 825-3752

The provider's authorized official is Patricia E Leavitt .
The authorized official title is Executive Director and has the following contact phone number (801) 425-3271.

The enumeration date for this NPI number is 8/17/2016 and was last updated on 8/17/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311500000XAlzheimer Center (Dementia Center)12-2014-509UTAHYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.