MEADOW BROOK TERRACE (NPI# 1598197279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598197279 |
| Entity Type | Organization |
| Organization Name | MEADOW BROOK TERRACE |
| Practice Address |
21957 Cole Rd Carthage NY 13619-9622 |
| Practice Telephone | 3155197246 |
| Mailing Telephone | 3155197246 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | MR. JOESPH W MILLARD (ADMINISTRATOR) |
| Authorized Official Telephone | 3155197246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ========= | NY | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | MEADOW BROOK TERRACE | 2829 Us Route, Leicester, VT 05733 |
| Street Address |
21957 COLE RD |
| City | CARTHAGE |
| State | NY |
| Zip Code | 13619-9622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184128563 | Carthage Area Hospital Inc | Clinic/Center | 21957 Cole Rd, Carthage, NY 13619-9622 | 2018-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025316 | Danielle Lachele Nier | Licensed Practical Nurse | 35789 Jackson II Rd, Carthage, NY 13619 | 2019-10-25 |
| 1750944310 | Carthage Area Hospital, Inc. | Clinic/Center | 22075 Constitution Drive, Carthage, NY 13619 | 2019-04-19 |
| 1942723895 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 118 Canal St Ste 1, Carthage, NY 13619 | 2017-07-24 |
| 1003214313 | James Powers | Pharmacist | 60 High St., West Carthage, NY 13619 | 2014-12-18 |
| 1285069153 | Rachel E Dill | Dietitian, Registered | 1001 West Street Rd, Carthage, NY 13619 | 2013-09-10 |
| 1811074032 | Women First Ob Gyn PC | Obstetrics & Gynecology | 36381 Nys Route 26, Carthage, NY 13619 | 2006-11-01 |
| 1982788394 | Gaston F Dacosta | Obstetrics & Gynecology | 117 N. Mechanic Street, Carthage, NY 13619 | 2006-10-24 |
| 1477657641 | Sultan Mahmood Imdad | Family Medicine | Carthage Area Hospital, Bridge Street, Carthage, NY 13619 | 2006-09-11 |
| 1104937945 | Maryellen Blevins | Physician Assistant | 3 Bridge St., Carthage, NY 13619 | 2006-08-31 |
| 1023029824 | Mark A Parshall | Emergency Medicine | 1001 West Street, Carthage, NY 13619 | 2006-08-10 |
| Find all providers in zip 13619 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740725340 | Hancock County Senior Services | Assisted Living Facility | 404 S Adams Street, Carthage, IL 62321 | 2017-01-05 |
| 1841431913 | Hancock County Supportive Living | Assisted Living Facility | 400 S Adams Street, Carthage, IL 62321 | 2009-03-18 |
| 1508039348 | Assisted Living Concepts Inc | Assisted Living Facility | 513 North Adams, Carthage, TX 75633 | 2008-04-11 |
| 1811168149 | Farleys, Inc. | Assisted Living Facility | 17562 Imperial Rd, Carthage, MO 64836-8753 | 2008-03-14 |
| 1699985432 | Graceland Personal Care Homes, Inc | Assisted Living Facility | 1315 Spring St, 2625 Cr 302, Carthage, TX 75633-2061 | 2007-05-23 |
| 1417163056 | Bristol Care, Inc. | Assisted Living Facility | 2131 S River St, Carthage, MO 64836-3350 | 2007-05-14 |
| 1982799029 | Tara Plantation of Carthage, LLC | Assisted Living Facility | 820 S. Mcneill Street, Carthage, NC 28327 | 2006-10-04 |
| 1841390002 | Carthage Healthcare Inc. | Assisted Living Facility | 801 Pinehurst Ave, Carthage, NC 28327-9338 | 2006-09-25 |
| 1568419364 | Carthage Resdeintal, LLC | Assisted Living Facility | 2510 Clinton St, Carthage, MO 64836-3427 | 2006-05-27 |
| 1891156808 | Hancock County Senior Services Association | Assisted Living Facility | 402 S Adams St, Carthage, IL 62321-1600 | 2016-03-18 |
| Find all providers in CARTHAGE | ||||
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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.