MEADOWBROOK MANOR (NPI# 1972963643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972963643 |
| Entity Type | Organization |
| Organization Name | MEADOWBROOK MANOR |
| Practice Address |
31 Oswego St Hannibal NY 13074-2115 |
| Practice Telephone | 3155645555 |
| Practice Fax Number | 3155645555 |
| Mailing Telephone | 3155645555 |
| Mailing Fax Number | 3155645033 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | BIEN J CONCEPCION (PRESIDENT) |
| Authorized Official Telephone | 2245200320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEADOWBROOK MANOR | 431 Remington Blvd, Bolingbrook, IL 60440-4918 |
| Virginia Business Entities | MEADOWBROOK MANOR CORPORATION | 7701 N Shirland Ave, Apt A-4, Norfolk, Virginia 23505 |
| Massachusetts Corporations | MEADOWBROOK MANOR NURSING HOME, INC. | C/o Irving Platt, 856 Main St, Worcester, MA 01608 |
| Colorado Business Entities | Meadowbrook Manor Property, LLC | 2506 West Main Street, Suite 250, Littleton, CO 80120 |
| Connecticut Business Registrations | MEADOWBROOK MANOR, LLC | 63 Westbrook Road, Centerbrook, CT 06409 |
| New York State Corporations | MEADOWBROOK MANOR, LLC | 1599 Maitou Road, Rochester, Ny 14626 |
| Street Address |
31 OSWEGO ST |
| City | HANNIBAL |
| State | NY |
| Zip Code | 13074-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679962518 | Kellys Private Home Care | Home Health Aide | 93 Chapel Rd., Hannibal, NY 13074 | 2015-01-15 |
| 1770876567 | Hess Healthcare, LLC | Pharmacy | 450 Fulton St., Suite 300, Hannibal, NY 13074 | 2011-05-26 |
| 1821396714 | Britanee Sarah Eckhard | Counselor | 55 County Route 36, Hannibal, NY 13074 | 2011-03-02 |
| 1346426939 | Jonathan Allen Hess | Pharmacist | 450 Fulton Street, Suite 300, Hannibal, NY 13074 | 2008-01-14 |
| 1336280809 | Franklin Lawrence Perkins II | Chiropractor | 365 Fulton St, Hannibal, NY 13074 | 2007-02-09 |
| 1770633711 | Hannibal Central School District | Local Education Agency (LEA) | 928 Cayuga Street, Hannibal, NY 13074 | 2007-01-11 |
| 1326422403 | Kayla Mcgrady Singer | Speech-Language Pathologist | 928 Cayuga Street, Hannibal Central School District, Hannibal, NY 13074 | 2015-07-17 |
| 1588046924 | Christopher Coufal | Speech-Language Pathologist | 953 Auburn St, Hannibal, NY 13074 | 2015-06-22 |
| 1538632849 | Perkins Chiropractic, Pllc | Chiropractor | 365 Fulton St, Hannibal, NY 13074-2101 | 2019-01-09 |
| 1508467820 | Denise Leslie Winter | Nurse's Aide | 296 Wall St, Hannibal, NY 13074-2120 | 2020-11-03 |
| Find all providers in zip 13074 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063719607 | Loving Hands Isl | Custodial Care Facility | #1 Suellen Drive, Hannibal, MO 63401-2726 | 2011-02-17 |
| 1629128970 | Beth Haven Group Homes Inc | Custodial Care Facility | 2518 Pleasant St, Hannibal, MO 63401-2659 | 2007-01-11 |
| 1578613931 | Beth Haven Group Homes Inc | Custodial Care Facility | 14 Village Rd, Hannibal, MO 63401-6849 | 2007-01-10 |
| 1598815805 | Beth Haven Group Homes Inc | Custodial Care Facility | 2510 Pleasant St, Hannibal, MO 63401-2659 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557828 | Kenwood Manor Inc | Custodial Care Facility | 141 Rockefeller Rd, Delmar, NY 12054-2221 | 2020-10-27 |
| 1336748383 | Jjj Yaut, LLC | Custodial Care Facility | 4806 Ny 52, Jeffersonville, NY 12748 | 2020-10-21 |
| 1528683463 | Hanmaum Daycare LLC | Custodial Care Facility | 3238 148th St, Flushing, NY 11354-3259 | 2020-06-16 |
| 1538700158 | Parkview Hfa, Inc. | Custodial Care Facility | 3200 Bronx Blvd, Bronx, NY 10467-6305 | 2019-10-04 |
| 1457903437 | Prime Social Day Care | Custodial Care Facility | 1918 1st Ave 1st Floor, New York, NY 10029 | 2019-07-10 |
| 1477116457 | Caroline S Reuben | Custodial Care Facility | 17108 Jamaica Ave, Jamaica, NY 11432-5428 | 2019-04-16 |
| 1255898979 | Yan K Chan | Custodial Care Facility | 6504 Bay Pkwy, Brooklyn, NY 11204-3931 | 2019-02-28 |
| 1609357284 | Sun Sunshine Adult Daycare Ctr Inc | Custodial Care Facility | 738 58th St, Brooklyn, NY 11220-3917 | 2018-08-22 |
| 1285113548 | The House of Hope | Custodial Care Facility | 31 Standish Rd, Valley Stream, NY 11580-1131 | 2018-08-08 |
| 1083112940 | True Quality Care | Custodial Care Facility | 1616 Chili Ave, Rochester, NY 14624-3246 | 2018-01-25 |
| Find all providers with the same taxonomy | ||||
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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.