The Meadows of Wickenburg, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

THE MEADOWS OF WICKENBURG, INC.

Doing business as

Meadows Outpatient Center

Practice address

3250 Lacey Rd Ste 100
Downers Grove, IL 60515-8354

Phone

(602) 256-3020

NPI assigned

Feb 20, 2024

Last updated

Feb 20, 2024By 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

Ms. Tracy Livingston

Title

VP of Revenue Cycle

Phone

(602) 256-3020

Specialties & licenses 2

Addresses

Other names 1

• Meadows Outpatient Center Doing business as

Tax ID family

The Meadows of Wickenburg Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Meadows of Wickenburg, Inc.

  dba Meadows Outpatient Center

  • Psychiatric Hospital
  • Wickenburg, AZ
  • NPI 1689705154
  NPD tax ID

Locations

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1336904168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N 7TH ST STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241694",
            "telephone_number": "602-256-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 LACEY RD STE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605158354",
            "telephone_number": "602-256-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEADOWS OF WICKENBURG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "602-256-3020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadows Outpatient Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.