Organization Active NPI

One Meadow Brook Way Operator LLC

  • Skilled Nursing Facility
  • Canton, MA
National Provider Identifier
1124544234
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ONE MEADOW BROOK WAY OPERATOR LLC
Practice address
1 Meadowbrook Way
Canton, MA 02021-2496
Phone
(781) 961-5600
NPI assigned
Aug 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William H Stephan
Title
Cfo
Phone
(617) 943-7747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X MA Primary

Addresses

Primary practice location

1 Meadowbrook Way
Canton, MA 02021-2496

Mailing address

1 Meadowbrook Way
Canton, MA 02021-2496
Phone (781) 961-5600

Other names 1

  • Tower Hill HealthCare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124544234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEADOWBROOK WAY",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212496",
            "telephone_number": "781-961-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEADOWBROOK WAY",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212496",
            "telephone_number": "781-961-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE MEADOW BROOK WAY OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-943-7747"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tower Hill HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.