MEADOW BROOK TERRACE NPI 1598197279

NPI Information

NPI: 1598197279
Provider Name: MEADOW BROOK TERRACE
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 33D2268303

Address:
21957 COLE RD
CARTHAGE, NY
ZIP 13619
Phone: (315) 519-7246
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MEADOW BROOK TERRACE is an assisted living facility in Carthage, NY. The provider is 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. MEADOW BROOK TERRACE NPI is 1598197279. The provider is registered as an organization entity type.

The provider's business location address is:

21957 COLE RD
CARTHAGE, NY
ZIP 13619-622
Phone: (315) 519-7246

The provider's authorized official is Joesph W Millard .
The authorized official title is Administrator and has the following contact phone number (315) 519-7246.

The CLIA number assigned to this NPI record is 33D2268303 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2013 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility			NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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