Meadow Falls Saybrook Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MEADOW FALLS SAYBROOK OPCO LLC

Practice address

3720 N Ridge Rd W
Ashtabula, OH 44004-6366

Phone

(440) 261-3100

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Avi Lustig

Title

President

Phone

(440) 261-3100

Specialties & licenses 1

Addresses

Other names 1

• Lantern of Saybrook Doing business as

Locations

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1194549196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 N RIDGE RD W",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 N RIDGE RD W",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046366",
            "telephone_number": "440-261-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW FALLS SAYBROOK OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "LUSTIG",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-261-3100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lantern of Saybrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haylee McMahon, CDCA
• Deborah Mary McNeil, RN
• Lillian Marie McNultyl, OTR/L
• Samantha Rae Meabon, PA-C
• Karen Mead
• Medical Oncology Associates, Inc.
• Arelys Medina, PHARMACY TECHNICIAN
• Amber Mehalic, RN
• Jeniffer Mercado
• Terra Hope Merriman

• Assisted Living Facility in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.