MEADOWOOD RETIREMENT VILLAGE LLC (NPI# 1386805869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386805869 |
Entity Type | Organization |
Organization Name | MEADOWOOD RETIREMENT VILLAGE LLC |
Practice Address |
509 Pineview Ave Glencoe AL 35905-1803 |
Practice Telephone | 2564920935 |
Practice Fax Number | 2564920991 |
Mailing Telephone | 2564920935 |
Mailing Fax Number | 2564920991 |
Enumeration Date | 2008-06-18 |
Last Update Date | 2008-06-18 |
Authorized Official Name | MR. W BART SCOTT (OWNER) |
Authorized Official Telephone | 2564920935 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | D2801 | AL | Nursing & Custodial Care Facilities |
Street Address |
509 PINEVIEW AVE |
City | GLENCOE |
State | AL |
Zip Code | 35905-1803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235318155 | Bonnie H. Minton | Physician Assistant | 1411 Walker Drive, Glencoe, AL 35905 | 2007-10-27 |
1285715813 | Delores Jean Aultman | Technician/Technologist | 1404 Rabbittown Rd, Gadsden, AL 35905 | 2006-10-18 |
1568576460 | J & A Pharmacy of Glencoe Inc. | Pharmacy | 544 West Main St, Glencoe, AL 35905 | 2006-08-18 |
1255630273 | Mary Kristin Hale | Chiropractor | 528 Main St W, Glencoe, AL 35905-1060 | 2011-03-16 |
1720103088 | Robert Alan Neal | Pharmacist | 544 Main St W, Glencoe, AL 35905-1060 | 2007-03-19 |
1346515798 | Glencoe Family Chiropractic, LLC | Chiropractor | 528 Main St W, Glencoe, AL 35905-1060 | 2012-03-19 |
1225248040 | Ronald Roy Smith | Pharmacist | 544 Main St W, Glencoe, AL 35905-1060 | 2007-05-23 |
1528351137 | Michaeldsimsdmdpc | Dentist | 103 Main St E, Glencoe, AL 35905-1755 | 2011-05-16 |
1861586737 | Coosa Nursing Adk, LLC | Skilled Nursing Facility | 513 Pineview Ave, Glencoe, AL 35905-1803 | 2006-10-03 |
1053712943 | C.r. of Coosa Valley, LLC | Skilled Nursing Facility | 513 Pineview Ave, Glencoe, AL 35905-1803 | 2014-09-10 |
Find all providers in zip 35905 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.