MEADOW BROOK RESIDENTIAL CARE FACILITY


Address: 1000 Meadow Lane, Howe, OK 74940
Phone: 9186582509

MEADOW BROOK RESIDENTIAL CARE FACILITY (NPI# 1558570309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558570309
Entity Type Organization
Organization Name MEADOW BROOK RESIDENTIAL CARE FACILITY
Practice Address 1000 Meadow Lane
Howe
OK 74940
Practice Telephone 9186582509
Practice Fax Number 9186582180
Mailing Telephone 9186582509
Mailing Fax Number 9186582180
Enumeration Date 2007-05-21
Last Update Date 2020-08-22
Authorized Official Name MR. BOBBY D. COX (CO-OWNER)
Authorized Official Telephone 9186582509
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Office Location

Street Address 1000 MEADOW LANE
City HOWE
State OK
Zip Code 74940

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619499704 Sheila Eileen Wilson Registered Nurse 1000 Meadow Lane, Howe, OK 74940 2017-07-11
1679992788 Jennifer Cox Community Based Residential Treatment Facility, Mental Illness 1000 Meadow Lane, Howe, OK 74940 2014-04-16
1083040729 Amber B Melton Registered Nurse 1000 Meadow Lane, Howe, OK 74940-0000 2013-09-25
1215256136 Michelle Joan Ashford Counselor 1000 Meadow Lane, Howe, OK 74940 2010-05-18
1992024855 Randy Dale Cook Counselor 1000 Meadow Lane, Howe, OK 74940 2010-05-18
1063731974 Charles Wayne Holt Counselor 1000 Meadow Lane, Howe, OK 74940 2010-05-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669015160 Tamra Fitzer Technician 21444 East North Railroad St., Howe, OK 74940 2019-10-28
1467925073 Charlotte Renae Smith Technician 21444 E N Railroad, Howe, OK 74940 2019-01-07
1063995199 Tandi Lynn Jackson Technician 21444 East N Railroad, Howe, OK 74940 2018-09-14
1881177913 Waldina Mercedes Stinson Technician 21444 East North, Railroad, Howe, OK 74940 2018-09-14
1811479355 Amanda Marie Martin Technician 21444 East North Railroad, Howe, OK 74940 2018-08-31
1003208190 Christine Emmons Nurse's Aide 21228 Meadow Lane, Howe, OK 74940 2015-02-26
1659762722 Donna J Nelson Technician 21228 Meadow Ln, Howe, OK 74940 2015-02-11
1083021430 Janet Farmer-stanley Counselor 21182 Meadow Lane, Howe, OK 74940 2014-07-17
1548526908 Hope Johnson Clinic/Center 21182 Meadow Ln, Howe, OK 74940 2012-04-10
1649599531 Timothy Matthew Nida Counselor 39995 Rnd. Mt Ln, Howe, OK 74940 2010-05-18
Find all providers in zip 74940

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679992788 Jennifer Cox Community Based Residential Treatment Facility, Mental Illness 1000 Meadow Lane, Howe, OK 74940 2014-04-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801321070 April Brock Community Based Residential Treatment Facility, Mental Illness 106 12th Ave Ne, Miami, OK 74354-3373 2017-04-25
1114321486 Cedric Glenn Community Based Residential Treatment Facility, Mental Illness 1721 E 72nd St, 1803, Tulsa, OK 74136-5372 2014-10-15
1083058523 Mongo Allen Community Based Residential Treatment Facility, Mental Illness 829 Nw 142nd St, Edmond, OK 73013-1962 2013-04-27
1801133236 Southeastern Oklahoma Family Services Community Based Residential Treatment Facility, Mental Illness 1501 N Washington Ave, Durant, OK 74701-2127 2013-01-04
1043595879 Oaktree Counseling Services Community Based Residential Treatment Facility, Mental Illness 2104 Nw Britni Cir, Lawton, OK 73505-3121 2011-10-12
1790089829 Southern Oklahoma Treatment Services Community Based Residential Treatment Facility, Mental Illness 5862 Us Hwy 70, Mead, OK 73449 2011-01-04
1285966747 Dr. C Professional Services, Pllc Community Based Residential Treatment Facility, Mental Illness 7109 S Kentucky Ave, Oklahoma City, OK 73159-3427 2010-02-09
1881921898 Sequoyah Residential Mental Health Facility, Inc Community Based Residential Treatment Facility, Mental Illness 103 N Wheeler Ave, Sallisaw, OK 74955-4617 2009-11-11
1790922185 State of Oklahoma Community Based Residential Treatment Facility, Mental Illness 2323 South Harvard, Tulsa, OK 74114 2009-01-07
1568580108 Transition House, Inc. Community Based Residential Treatment Facility, Mental Illness 700 Asp Ave, Suite 2, Norman, OK 73069-4900 2007-03-26
Find all providers with the same taxonomy

Competitor

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City HOWE
Zip Code 74940

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Dataset Information

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.

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