1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Nursing Facility Intermediate Care Facility
  6. NPI Profile

FRIENDSHIP VILLA CARE CENTER INC
NPI 1225030810
Nursing Facility/Intermediate Care Facility in Salt Lake City, UT

Active since August 12, 2005
3094 S STATE ST, SALT LAKE CITY, UT 84115(801) 487-7887(801) 466-3634 Get Directions Write a Review

NPPES record last updated: November 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Friendship Villa Care Center Inc NPPES

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

FRIENDSHIP VILLA CARE CENTER INC (NPI 1225030810) is a healthcare organization registered as a nursing facility/intermediate care facility in Salt Lake City, Utah and active in the NPI registry since August 2005. The organization lists Walter Matjasich, President, as its authorized official.

NPPES Registry Identity

NPI1225030810
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameFRIENDSHIP VILLA CARE CENTER INC
Location Address3094 S STATE STSalt Lake City, UT 84115-3834
Mailing AddressPo Box 65007Salt Lake City, UT 84165-0007 · (801) 487-7887 · Fax (801) 466-3634
Phone(801) 487-7887
Fax(801) 466-3634
Organization SubpartNo
Authorized OfficialWalter MatjasichPresident · (801) 466-0966
Enumeration DateAugust 12, 2005
Last NPPES UpdateNovember 20, 2008
✔ NPI 1225030810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in UT · 6170
Definition
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.
3094 S STATE ST, Salt Lake City, UT 84115
Open in Google Maps ↗

Other Identifiers 1

Medicaid=========008UT

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.

TRINITY CARE CENTER
Nursing Facility/Intermediate Care Facility
3094 S STATE ST
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 485-9007
BEAVER VALLEY HOSPITAL
Skilled Nursing Facility
3094 S STATE ST
SALT LAKE CITY, UT 84115
Salt Lake County (801) 485-9007

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 Friendship Villa Care Center Inc's NPI number?

The NPI number for Friendship Villa Care Center Inc is 1225030810. It was assigned to this organization in the NPPES registry on August 12, 2005.

Where is Friendship Villa Care Center Inc located?

Friendship Villa Care Center Inc is located at 3094 S State St, Salt Lake City, UT 84115. The listed phone number is (801) 487-7887.

What is Friendship Villa Care Center Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Friendship Villa Care Center Inc was last updated on November 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.