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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 6170 | UT | Nursing & Custodial Care Facilities |
Street Address |
3094 S STATE ST |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84115-3834 |
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 |
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 |
Find all providers in zip 84115 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | SALT LAKE CITY |
Zip Code | 84115 |
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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.