Pappadakis Enterprises

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2004-NCF-368 Issued in UT

Legal business name

PAPPADAKIS ENTERPRISES

Practice address

125 S 900 W
Salt Lake City, UT 84104-1125

Phone

(801) 363-6340

Fax

(801) 359-8533

NPI assigned

May 24, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John N Pappadakis, OWNER

Title

Administrator

Phone

(801) 363-6340

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MIDTOWN MANOR Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124021050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 900 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841041125",
            "telephone_number": "801-363-6340",
            "fax_number": "801-359-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 900 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841041125",
            "telephone_number": "801-363-6340",
            "fax_number": "801-359-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPPADAKIS ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAPPADAKIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-363-6340",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2004-NCF-368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "990177673001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDTOWN MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vaso Papaderos
• Sofia Valencia Papastamos, PA
• Amelia Pape
• Rachel Papenfuss, RN
• Kayla Goldie Papez, APRN
• Nicole Pappas, DPT
• Russell Jenson Pappas, LMT, NCTMB
• Stephanie Eleni Pappas
• Hannah M Paraboschi
• Tegan Paradis, LMT

• Skilled Nursing Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.