MIDTOWN MANOR
NPI 1124021050
Skilled Nursing Facility in Salt Lake City, UT

Active since May 24, 2005CLIA 46D0523647 · Waiver
125 S 900 W, SALT LAKE CITY, UT 84104(801) 363-6340(801) 359-8533 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Midtown Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDTOWN MANOR (NPI 1124021050) is a healthcare organization registered as a skilled nursing facility in Salt Lake City, Utah and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John N Pappadakis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124021050
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePAPPADAKIS ENTERPRISES
Location Address125 S 900 WSalt Lake City, UT 84104-1125
Mailing Address125 S 900 WSalt Lake City, UT 84104-1125 · (801) 363-6340 · Fax (801) 359-8533
Fax(801) 359-8533
Organization SubpartNo
Authorized OfficialJohn N PappadakisAdministrator · (801) 363-6340
Enumeration DateMay 24, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1124021050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in UT · 2004-NCF-368
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
125 S 900 W, Salt Lake City, UT 84104

Other Names 1

Doing Business AsMidtown Manor

Other Identifiers 1

Medicaid990177673001UT

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D0523647

Midtown Manor · Salt Lake City, UT
Active · expires Aug 31, 2026
CLIA Number46D0523647
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorClarine Moffitt
Laboratory Phone(801) 363-6340
Laboratory LocationMidtown Manor125 S 900 W, Salt Lake City, UT 84104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
125 S 900 W
SALT LAKE CITY, UT 84104
Skilled Nursing Facility
125 S 900 W
SALT LAKE CITY, UT 84104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pappadakis Enterprises's NPI number?

The NPI number for Pappadakis Enterprises is 1124021050. It was assigned to this organization in the NPPES registry on May 24, 2005. The provider is doing business as Midtown Manor.

Where is Pappadakis Enterprises located?

Pappadakis Enterprises is located at 125 S 900 W, Salt Lake City, UT 84104. The listed phone number is (801) 363-6340.

What is Pappadakis Enterprises's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Pappadakis Enterprises hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0523647) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pappadakis Enterprises was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.