OrganizationActive
Country Pines Phase II Lc
NPI 1104037563 · Assisted Living Facility · Clinton, UT
Country Pines Phase II Lc is a Assisted Living Facility organization in Clinton, UT (NPI 1104037563).
Provider details
- NPI number
- 1104037563
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Myrna Mcclellan, Administrator(801) 773-0990
- License
- 006871 (UT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1706 W 1800 N
Clinton, UT 84015-8324
Phone: (801) 773-0990
Street-level locationGet directions
Mailing address
1706 W 1800 N
Clinton, UT 84015-8324
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Country Pines Phase II Lc's NPI number?
- Country Pines Phase II Lc's National Provider Identifier (NPI) is 1104037563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Pines Phase II Lc?
- Country Pines Phase II Lc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Country Pines Phase II Lc located?
- Country Pines Phase II Lc's practice location on file with NPPES is 1706 W 1800 N, Clinton, UT 84015-8324.
- What is Country Pines Phase II Lc's phone number?
- The practice phone number listed in the NPPES registry for Country Pines Phase II Lc is (801) 773-0990.
- Who is the authorized official for Country Pines Phase II Lc?
- The authorized official listed on Country Pines Phase II Lc's NPPES record is Myrna Mcclellan, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Pines Phase II Lc's NPI active?
- Yes — Country Pines Phase II Lc's NPI (1104037563) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.