Medallion Manor Inc.
NPI 1720098163 · Intellectual Disabilities Intermediate Care Facility · Provo, UT
Medallion Manor Inc. is a Intellectual Disabilities Intermediate Care Facility organization in Provo, UT (NPI 1720098163).
Provider details
- NPI number
- 1720098163
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Merlin Moyes, Administrator(801) 375-2710
- License
- 2006-NCF-69 (UT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Medallion Manor Inc.'s NPI number?
- Medallion Manor Inc.'s National Provider Identifier (NPI) is 1720098163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medallion Manor Inc.?
- Medallion Manor Inc. is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Medallion Manor Inc. located?
- Medallion Manor Inc.'s practice location on file with NPPES is 1701 W 600 S, Provo, UT 84601-3832.
- What is Medallion Manor Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Medallion Manor Inc. is (801) 375-2710.
- Who is the authorized official for Medallion Manor Inc.?
- The authorized official listed on Medallion Manor Inc.'s NPPES record is Merlin Moyes, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medallion Manor Inc.'s NPI active?
- Yes — Medallion Manor Inc.'s NPI (1720098163) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.