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COUNTRY PINES MEMORY CARE
NPI 1336694546
Alzheimer Center (Dementia Center) in Clinton, UT

Active since August 17, 2016
1748 W 1800 N, CLINTON, UT 84015(801) 774-9198(801) 825-3752 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Country Pines Memory Care NPPES

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

COUNTRY PINES MEMORY CARE (NPI 1336694546) is a healthcare organization registered as an alzheimer center (dementia center) in Clinton, Utah and active in the NPI registry since August 2016. The organization lists Patricia E Leavitt, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336694546
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameCOUNTRY PINES MEMORY CARE, LLC
Location Address1748 W 1800 NClinton, UT 84015-8324
Mailing Address1748 W 1800 NClinton, UT 84015-8324 · (801) 774-9198 · Fax (801) 825-3752
Phone(801) 774-9198
Fax(801) 825-3752
Organization SubpartNo
Authorized OfficialPatricia E LeavittExecutive Director · (801) 425-3271
Enumeration DateAugust 17, 2016
✔ NPI 1336694546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
License✔ Licensed in UT · 12-2014-509
Definition
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.
1748 W 1800 N, Clinton, UT 84015
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Other Names 1

Doing Business AsCountry Pines Memory Care

Other Providers at the Same Location NPPES 2

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

MATHEW CHRISTOPHER PEDERSEN DNP FNP-BC
Nurse Practitioner
1748 W 1800 N
CLINTON, UT 84015
Davis County (180) 177-3164
COUNTRY PINES RETIREMENT HOME
Assisted Living Facility
1748 W 1800 N
CLINTON, UT 84015
Davis County (801) 773-1649

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 Country Pines Memory Care, LLC's NPI number?

The NPI number for Country Pines Memory Care, LLC is 1336694546. It was assigned to this organization in the NPPES registry on August 17, 2016. The provider is doing business as Country Pines Memory Care.

Where is Country Pines Memory Care, LLC located?

Country Pines Memory Care, LLC is located at 1748 W 1800 N, Clinton, UT 84015. The listed phone number is (801) 774-9198.

What is Country Pines Memory Care, LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

When was this NPI record last updated?

The NPPES record for Country Pines Memory Care, LLC was last updated on August 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.