Provider Demographics
NPI:1871582759
Name:N.M.P. INC
Entity type:Organization
Organization Name:N.M.P. INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:DASKALAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-484-7638
Mailing Address - Street 1:3520 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-3211
Mailing Address - Country:US
Mailing Address - Phone:801-484-7638
Mailing Address - Fax:801-484-6232
Practice Address - Street 1:3520 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-3211
Practice Address - Country:US
Practice Address - Phone:801-484-7638
Practice Address - Fax:801-484-6232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-13
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2004-NCF-92313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV001989025Medicaid
UT=========005Medicaid