COUNTRY PINES RETIREMENT HOME
NPI 1992866024
Assisted Living Facility in Clinton, UT
About Country Pines Retirement Home NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNTRY PINES RETIREMENT HOME (NPI 1992866024) is a healthcare organization registered as an assisted living facility in Clinton, Utah and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Sarah Petersen, Director Of Nursing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 46D2205274
Country Pines Retirement Community · Clinton, UTOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Retirement Home's NPI number?
The NPI number for Country Pines Retirement Home is 1992866024. It was assigned to this organization in the NPPES registry on December 13, 2006.
Where is Country Pines Retirement Home located?
Country Pines Retirement Home is located at 1748 W 1800 N, Clinton, UT 84015. The listed phone number is (801) 773-1649.
What is Country Pines Retirement Home's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Country Pines Retirement Home hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2205274) is associated with this NPI, valid through December 13, 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 Country Pines Retirement Home was last updated on August 22, 2020. 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.
# Country Pines Retirement Home · NPI 1992866024
Assisted Living Facility organization in Clinton, Utah. Organization record, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1992866024 (Entity type: Organization)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Sarah Petersen, DIRECTOR OF NURSING
## Practice location
- **Address:** 1748 W 1800 N, Clinton, UT 84015-8324
- **Phone:** (801) 773-1649
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1992866024) · Data from the CMS NPPES public registry.