Meadow View Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

230000136 Issued in CA

Legal business name

MEADOW VIEW MANOR, INC.

Practice address

396 Dorsey Dr
Grass Valley, CA 95945-5368

Phone

(530) 272-2273

Fax

(530) 272-7761

NPI assigned

Jul 19, 2005

Organization subpart

Yes

Parent organization

HORIZON WEST HEALTHCARE OF CALIFORNIA, INC.As reported in NPPES

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

Authorized official

Name

Larry E Bear

Title

Chief Executive Officer

Phone

(916) 624-6230

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1275532582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 SIERRA COLLEGE BLVD",
            "address_2": "STE 190",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773906",
            "telephone_number": "916-624-6230",
            "fax_number": "916-624-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 DORSEY DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455368",
            "telephone_number": "530-272-2273",
            "fax_number": "530-272-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW VIEW MANOR, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HORIZON WEST HEALTHCARE OF CALIFORNIA, INC.",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "BEAR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-624-6230"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "230000136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55283G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen McNulty, P.T.
• Jenny McPherson
• Marilynn McSeveney
• Stacey Charlene McVicker, OQP
• MD Partners Ipa
• Teresa M Meadow
• Megan Meadows
• Sarah Meadows
• Andrea Rosemary Medina
• Maria Ahleen De Leon Medina, DMD

• Skilled Nursing Facility in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.