MEADOWBROOK CENTER INC (NPI# 1437436169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437436169 |
| Entity Type | Organization |
| Organization Name | MEADOWBROOK CENTER INC |
| Other Organization Name | MEADOWBROOK OF GRANBY |
| Practice Address |
350 Salmon Brook St Granby CT 06035-1842 |
| Practice Telephone | 8606539888 |
| Practice Fax Number | 8606538938 |
| Mailing Telephone | 8606539888 |
| Mailing Fax Number | 8606538938 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |
| Authorized Official Name | MR. DON DAVANZO (ADMINISTRATOR) |
| Authorized Official Telephone | 8606539888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2080C | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 000020800 | 05 |
| Other Name | Type Code |
|---|---|
| MeadowBrook of Granby | Doing Business As Name - Organization |
| Street Address |
350 SALMON BROOK ST |
| City | GRANBY |
| State | CT |
| Zip Code | 06035-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326007675 | Tammy Jean Haack | Physical Therapist | 350 Salmon Brook St, Granby, CT 06035-1842 | 2006-03-23 |
| 1134562812 | Athena Meadowbrook, LLC | Skilled Nursing Facility | 350 Salmon Brook St, Granby, CT 06035-1842 | 2013-04-11 |
| 1972723963 | Athena Meadowbrook, LLC | Nursing Facility/Intermediate Care Facility | 350 Salmon Brook St, Granby, CT 06035-1842 | 2007-05-01 |
| 1770547473 | Athena Meadowbrook, LLC | Skilled Nursing Facility | 350 Salmon Brook St, Granby, CT 06035-1842 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801348214 | Granby Pharmacy LLC | Pharmacy | 9 Hartford Avenue, Granby, CT 06035 | 2016-11-02 |
| 1851625271 | Melissa Marie Masse | Registered Nurse | 20 Bank Street, Granby, CT 06035 | 2009-10-01 |
| 1194937797 | Hope Goldstein | Physical Therapist | 18 E. Granby Road, Granby, CT 06035 | 2007-05-04 |
| 1801918909 | Michael A Ungerleider | Dentist | 41 Hartford Ave, Granby, CT 06035 | 2007-04-06 |
| 1801927058 | Kenneth Edward Endres | Dentist | 33 Hartford Avenue, Box 330, Granby, CT 06035 | 2007-03-08 |
| 1104921956 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 20 Bank St, Granby, CT 06035 | 2006-09-14 |
| 1154426377 | Michele Twigg | Internal Medicine | 18 E. Granby Rd, 1st Floor, Granby, CT 06035 | 2006-09-13 |
| 1063517282 | Joseph Maglio | Internal Medicine | 18 East Granby Road, 1st Floor, Granby, CT 06035 | 2006-09-13 |
| 1184727992 | John Scott Hitchiner | Chiropractor | 50 Hartford Ave, Granby, CT 06035 | 2006-09-07 |
| 1174531446 | Jean M Keating | Pharmacist | 9 Hartford Ave, Granby, CT 06035 | 2006-08-03 |
| Find all providers in zip 06035 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639441439 | Connecticut Physical Therapy Specialists LLC | Clinic/Center | 11 Mill Pond Dr, Granby, CT 06035-2628 | 2012-02-08 |
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| 1811502867 | Zion Pt Ct PC | Clinic/Center | 1555 Post Road East, Inside Sherpa, Westport, CT 06880 | 2020-09-15 |
| 1053920439 | Oss Sports Physical Therapy | Clinic/Center | 500 Newfield Ave Ste 11, Stamford, CT 06905-3745 | 2020-07-30 |
| 1558983403 | Centrality Physical Therapy & Wellness, PC | Clinic/Center | 705 Boston Post Rd Ste 1b, Guilford, CT 06437-2733 | 2020-05-14 |
| 1639703622 | Dr Yoon Physical Therapy Inc | Clinic/Center | 609 Farmington Ave Ste Ll2, Hartford, CT 06105-3081 | 2020-02-27 |
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1609413491 | Beyond Physical Therapy LLC | Clinic/Center | 120 Steele Rd, Bristol, CT 06010-5672 | 2019-11-29 |
| 1588214381 | Good Physio Clinic Inc | Clinic/Center | 701 Cottage Grove Rd Ste 110, Bloomfield, CT 06002-3080 | 2019-09-13 |
| 1972169241 | Align Health LLC | Clinic/Center | 133 Columbia Blvd, Waterbury, CT 06710-1706 | 2019-05-13 |
| 1396209029 | My Pain Guy LLC | Clinic/Center | 50 Quality St Unit 110615, Trumbull, CT 06611-7725 | 2019-01-28 |
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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.