FRIENDSHIP VILLA CARE CENTER INC


Address: 3094 S State St, Salt Lake City, UT 84115-3834
Phone: 8014877887

FRIENDSHIP VILLA CARE CENTER INC (NPI# 1225030810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225030810
Entity Type Organization
Organization Name FRIENDSHIP VILLA CARE CENTER INC
Practice Address 3094 S State St
Salt Lake City
UT 84115-3834
Mailing Address Po Box 65007
Salt Lake City
UT 84165-0007
Practice Telephone 8014877887
Practice Fax Number 8014663634
Mailing Telephone 8014877887
Mailing Fax Number 8014663634
Enumeration Date 2005-08-12
Last Update Date 2008-11-20
Authorized Official Name MR. WALTER MATJASICH (PRESIDENT)
Authorized Official Telephone 8014660966
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 6170 UT Nursing & Custodial Care Facilities

Office Location

Street Address 3094 S STATE ST
City SALT LAKE CITY
State UT
Zip Code 84115-3834

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659709061 Beaver Valley Hospital Skilled Nursing Facility 3094 S State St, Salt Lake City, UT 84115-3834 2013-10-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396344198 Shannon Ballinger Clinic/Center 1470 400 W, Salt Lake City, UT 84115 2020-10-22
1992346704 Anicka Inc Clinic/Center 3195 South Main St, Ste 260, South Salt Lake, UT 84115 2019-10-02
1083177505 Vitor Gabriel Giuliani Alcantara Carioca Specialist/Technologist 1850 South Campus Drive, Salt Lake City, UT 84115 2019-04-11
1427528371 Samuel James Leonhart Behavior Technician 354 East Coatsville Drive, Salt Lake City, UT 84115 2018-12-04
1093228645 Eco Pharmacy LLC Pharmacy 3702 S State Street Suite 115, South Salt Lake City, UT 84115 2017-11-06
1568973055 Eco Apothecary LLC Pharmacy 3701 S State Street Suite 114, South Salt Lake City, UT 84115 2017-10-24
1548780455 Kelly Lund Case Manager/Care Coordinator 447 W. Bearcat Dr., Salt Lake City, UT 84115 2017-06-21
1104271238 The Church of Philadelphia Inc. Community/Behavioral Health 2358 South Main Street, Salt Lake City, UT 84115 2016-04-26
1710368626 Jennifer Swanhild Edwards Counselor 140 W 2100 S Ste 244, Salt Lake City, UT 84115 2015-06-16
1508247065 John Mcguire Health Educator 1370 S. West Temple, Salt Lake City, UT 84115 2015-06-10
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932536257 Ellas LLC Nursing Facility/Intermediate Care Facility 3520 S Highland Dr, Salt Lake City, UT 84106-3211 2013-10-01
1871582759 N.m.p. Inc Nursing Facility/Intermediate Care Facility 3520 Highland Dr, Salt Lake City, UT 84106-3211 2005-10-13
1174520472 Fairview Care Center - East, Inc. Nursing Facility/Intermediate Care Facility 455 S 900 E, Salt Lake City, UT 84102-2933 2005-06-30
1457354755 Westside Community Nursing Center Nursing Facility/Intermediate Care Facility 876 W 700 S, Salt Lake City, UT 84104-1404 2005-05-31
1952708182 Beaver Valley Hospital Nursing Facility/Intermediate Care Facility 876 W 700 S, Salt Lake City, UT 84104-1404 2014-12-03
1720328529 Adams and Sons Enterprises Inc Nursing Facility/Intermediate Care Facility 455 S 900 E, Salt Lake City, UT 84102-2933 2013-02-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467999524 Garfield County Nursing Facility/Intermediate Care Facility 200 N 450 E, Panguitch, UT 84759 2017-01-27
1598128977 Michael Maez Nursing Facility/Intermediate Care Facility 1174 24th St, Apt 4, Ogden, UT 84401-2763 2016-04-01
1700141769 Wepa Enterprises Inc. Nursing Facility/Intermediate Care Facility 155 N 300 W, Washington, UT 84780-1520 2012-07-05
1881991701 Canyonlands Health Care Special Service District Nursing Facility/Intermediate Care Facility 390 W Williams Way, Moab, UT 84532 2011-02-14
1063669067 Hazen Nursing Home, Inc Nursing Facility/Intermediate Care Facility 2520 S Redwood Rd, West Valley City, UT 84119-2215 2008-08-20
1003846478 Mayfield Community Care Center, Inc. Nursing Facility/Intermediate Care Facility 10 W 400 S, Centerfield, UT 84622 2006-07-03
1851348965 Hobble Creek Nursing & Rehab Nursing Facility/Intermediate Care Facility 469 N Main St, Springville, UT 84663-1036 2006-05-27
1346235645 Tophams Tiny Tots Care Center Nursing Facility/Intermediate Care Facility 247 N 100 E, Orem, UT 84057-4731 2005-09-13
1710419114 North Parkway Healthcare, Inc. Nursing Facility/Intermediate Care Facility 910 Monroe Blvd, Ogden, UT 84404-6434 2017-04-03
1942650148 Beaver Valley Hospital Nursing Facility/Intermediate Care Facility 2520 S Redwood Rd, West Valley City, UT 84119-2215 2016-06-17
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Competitor

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City SALT LAKE CITY
Zip Code 84115

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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