Meadow Brook Skilled Nursing and Rehab LLC
Organization Active NPI Non-emergency Medical Transport (VAN) · Grayville, IL
NPI 1194483230 · NPPES record last updated Dec 6, 2021
Key facts
- NPI
- 1194483230
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Legal business name
- MEADOW BROOK SKILLED NURSING AND REHAB LLC
- Practice address
- 320 S 2ND St
Grayville, IL 62844-1527 - Phone
- (618) 375-2171
- NPI assigned
- Dec 6, 2021
- Organization subpart
- No
Authorized official
- Name
- Meir Singer
- Title
- Authorizead Official
- Phone
- (618) 375-2171
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Meadow Brook Skilled Nursing and Rehab LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
320 S 2ND St
Grayville, IL 62844-1527
Mailing address
575 Route 70
Brick, NJ 08723-4042
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- Kristina Catherine Celia Lehman
- Christopher James Magulick
- Meadow Brook Skilled Nursing and Rehab LLC
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- Abby Jo Moore
- Jessica N Roosevelt
All providers in Grayville, IL · Non-emergency Medical Transport (VAN) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.