Meadowbrook Care and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MEADOWBROOK CARE AND REHABILITATION CENTER LLC

Practice address

2500 Arrowhead Dr
Rapid City, SD 57702-4225

Phone

(605) 348-0285

Fax

(605) 343-5771

NPI assigned

Dec 8, 2016

Organization subpart

No

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

Authorized official

Name

Joseph Schwartz

Title

Manager

Phone

(201) 635-1195

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Meadowbrook Care and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1194269225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ARROWHEAD DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024225",
            "telephone_number": "605-348-0285",
            "fax_number": "605-343-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ARROWHEAD DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024225",
            "telephone_number": "605-348-0285",
            "fax_number": "605-343-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK CARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-635-1195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "435051",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowbrook Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Marie McMillin, FNP-C MSN
• Augusta McMillin
• April McNaboe, RPT
• Jenna McNeely, PT, DPT
• Tina McVay, OT
• Tara Mechaley, LMT
• Taylor Joseph Mechaley, LMT
• Marcus Vernon Medalen, PT
• Jonathan Dean Medeck, PA-C
• Medical Arts Clinic, Pro. L.L.C.

• Skilled Nursing Facility in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Skilled Nursing Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.