Friendship Villa Care Center Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

6170 Issued in UT

Legal business name

FRIENDSHIP VILLA CARE CENTER INC

Practice address

3094 S State St
Salt Lake City, UT 84115-3834

Phone

(801) 487-7887

Fax

(801) 466-3634

NPI assigned

Aug 12, 2005

Last updated

Nov 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Walter Matjasich

Title

President

Phone

(801) 466-0966

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1225030810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65007",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841650007",
            "telephone_number": "801-487-7887",
            "fax_number": "801-466-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 S STATE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841153834",
            "telephone_number": "801-487-7887",
            "fax_number": "801-466-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP VILLA CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "MATJASICH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-466-0966",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "UT",
            "license": "6170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Carlon Frick, DMD
• Kathryn Friddle, NNP
• Louisa Danielle Friedman
• Susan Friedman, LCSW
• Olivia Eileen Friedrichs
• Tiffani Tabish Fries, D.C.
• Alice Frigerio, MD, PHD
• Rona Frimmer, PT
• Jinny L Frisby
• Melissa Renee Frisch, D.D.S.

• Nursing Facility/Intermediate Care Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Nursing Facility/Intermediate Care Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.