Meadowbrook Nursing Home Inc

LBN: Meadowbrook Nursing Home Inc
Meadowbrook Nursing Home Inc is an health care organization with primary practice located at 4608 Lawrenceville Hwy , Tucker GA 30084-2903. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Meadowbrook Nursing Home Inc can be contacted via phone (770) 938-0118, or through Penley, Thomas W via phone (706) 855-1773.

Contact Information

Primary practice address
4608 Lawrenceville Hwy Tucker GA 30084-2903
Phone: (770) 938-0118
Fax: (770) 491-8760
Website:
Map and Directions
Authorized official contact:
Name: Penley, Thomas W
Phone: (706) 855-1773

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1053312736
LBN Legal business name Meadowbrook Nursing Home Inc
DBA Doing business as
Authorized official Penley, Thomas W
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053312736 NPPES
Georgia MEDICAID 00141864A
Georgia Other 1054670001

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