Senior Health - Meadowbrook, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

675151 Issued in TX

Legal business name

SENIOR HEALTH - MEADOWBROOK, LLC

Practice address

100 Windsor Dr.
Van Alstyne, TX 75495-0307

Phone

(903) 482-6455

Fax

(903) 482-6048

NPI assigned

Oct 5, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Snow

Title

Regional Case Manager

Phone

(972) 410-2600

Specialties & licenses 1

Addresses

Other names 1

• Meadowbrook Nursing and Rehab Center Other name

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235126103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754950307",
            "telephone_number": "903-482-6455",
            "fax_number": "903-482-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WINDSOR DR.",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754950307",
            "telephone_number": "903-482-6455",
            "fax_number": "903-482-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTH - MEADOWBROOK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "REGIONAL CASE MANAGER",
        "authorized_official_telephone_number": "972-410-2600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "675151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowbrook Nursing and Rehab Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Saundra Cecelia Ross, MASSAGE THERAPOST
• Brandi Nichole Rullan, CRNA
• Elizabeth Sanchez, LPC, LCDC
• Parrash Sanderson, COTA/L
• Sharon Diane Sanderson, O.T.
• Dana Rene' Shelley, RPT
• Sherman Heart Group LLP
• Southern Hearts Home Health, LLC
• Julie Stockton, RN
• Richard Lee Templeman, FNP-BC

• Skilled Nursing Facility in Van Alstyne, TX
• Providers in Van Alstyne, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.