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LAKE RIDGE SENIOR LIVING
NPI 1376983312
Assisted Living Facility in Orem, UT

Active since July 03, 2013CLIA 46D2199975 · Waiver
960 S GENEVA RD, OREM, UT 84058(801) 225-6559(801) 225-0372 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Ridge Senior Living NPPES

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

LAKE RIDGE SENIOR LIVING (NPI 1376983312) is a healthcare organization registered as an assisted living facility in Orem, Utah and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Soon Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1376983312
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMOUNTAIN VIEW RETIREMENT, INC.
Location Address960 S GENEVA RDOrem, UT 84058-5847
Mailing Address960 S Geneva RdOrem, UT 84058-5847 · (801) 225-6559 · Fax (801) 225-0372
Phone(801) 225-6559
Fax(801) 225-0372
Organization SubpartNo
Authorized OfficialSoon BurnamTreasurer · (949) 540-1249
Enumeration DateJuly 3, 2013
Last NPPES UpdateMay 8, 2023
NPPES CertifiedMay 8, 2023
✔ NPI 1376983312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Licenses✔ Licensed in UT · 2013-ALI-UT207208✔ Licensed in UT · 2013-ALII-UT207236
Definition
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.
960 S GENEVA RD, Orem, UT 84058
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Other Names 1

Doing Business AsLake Ridge Senior Living

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 46D2199975

Lake Ridge Senior Living · Orem, UT
Active · expires Nov 11, 2026
CLIA Number46D2199975
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorNathan Jones
Laboratory Phone(801) 225-6559
Laboratory LocationLake Ridge Senior Living960 South Geneva Road, Orem, UT 84058
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 2

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

GOLDEN LIVING - OREM
Clinical Medical Laboratory
960 S GENEVA RD
OREM, UT 84058
Utah County (801) 966-4286
GOLDEN LIVING OREM
Assisted Living Facility
960 S GENEVA RD
OREM, UT 84058
Utah County (801) 225-6559

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 Mountain View Retirement, Inc.'s NPI number?

The NPI number for Mountain View Retirement, Inc. is 1376983312. It was assigned to this organization in the NPPES registry on July 3, 2013. The provider is doing business as Lake Ridge Senior Living.

Where is Mountain View Retirement, Inc. located?

Mountain View Retirement, Inc. is located at 960 S Geneva Rd, Orem, UT 84058. The listed phone number is (801) 225-6559.

What is Mountain View Retirement, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Mountain View Retirement, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2199975) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountain View Retirement, Inc. was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.