COPPER RIDGE HEALTH CARE
NPI 1235682519
Skilled Nursing Facility in West Jordan, UT

Active since August 03, 2016CLIA 46D0858538 · Waiver
3706 W 9000 S, WEST JORDAN, UT 84088(801) 280-2273(201) 280-2285 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Copper Ridge Health Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COPPER RIDGE HEALTH CARE (NPI 1235682519) is a healthcare organization registered as a skilled nursing facility in West Jordan, Utah and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Soon Burnam, Treasurer Of Management Company, as its authorized official.

NPPES Registry Identity

NPI1235682519
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBEAVER VALLEY HOSPITAL
Location Address3706 W 9000 SWest Jordan, UT 84088-8813
Mailing Address3706 W 9000 SWest Jordan, UT 84088-8813 · (801) 280-2273 · Fax (201) 280-2285
Fax(201) 280-2285
Organization SubpartNo
Authorized OfficialSoon BurnamTreasurer Of Management Company · (949) 540-1249
Enumeration DateAugust 3, 2016
Last NPPES UpdateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
NPI 1235682519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3706 W 9000 S, West Jordan, UT 84088

Other Names 1

Doing Business AsCopper Ridge Health Care

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D0858538

Copper Ridge Health Care · West Jordan, UT
Active · expires May 13, 2027
CLIA Number46D0858538
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorFatima Gangotena-Bernard
Laboratory Phone(801) 280-2273
Laboratory LocationCopper Ridge Health Care3706 W 9000 S, West Jordan, UT 84088
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Recreation Therapist
3706 W 9000 S
WEST JORDAN, UT 84088
Skilled Nursing Facility
3706 W 9000 S
WEST JORDAN, UT 84088
Clinic/Center (Physical Therapy)
3706 W 9000 S
WEST JORDAN, UT 84088
Skilled Nursing Facility
3706 W 9000 S
WEST JORDAN, UT 84088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaver Valley Hospital's NPI number?

The NPI number for Beaver Valley Hospital is 1235682519. It was assigned to this organization in the NPPES registry on August 3, 2016. The provider is doing business as Copper Ridge Health Care.

Where is Beaver Valley Hospital located?

Beaver Valley Hospital is located at 3706 W 9000 S, West Jordan, UT 84088. The listed phone number is (801) 280-2273.

What is Beaver Valley Hospital's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Beaver Valley Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0858538) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beaver Valley Hospital accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Beaver Valley Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beaver Valley Hospital was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.