Midtown Manor

LBN: Pappadakis Enterprises
Midtown Manor is an health care organization with primary practice located at 125 S 900 W , Salt Lake City UT 84104-1125. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Pappadakis Enterprises can be contacted via phone (801) 363-6340, or through Pappadakis, John N via phone (801) 363-6340.

Contact Information

Primary practice address
125 S 900 W Salt Lake City UT 84104-1125
Fax: (801) 359-8533
Website:
Authorized official contact:
Name: Pappadakis, John N OWNER

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2004-NCF-368 Utah

Profile Details

NPI number 1124021050
LBN Legal business name Pappadakis Enterprises
DBA Doing business as Midtown Manor
Authorized official Pappadakis, John N OWNER
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124021050 NPPES
Utah MEDICAID 990177673001

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