Organization Active NPI

Meadowood Retirement Village LLC

  • Assisted Living Facility
  • Glencoe, AL
National Provider Identifier
1386805869
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
D2801 Issued in AL
Legal business name
MEADOWOOD RETIREMENT VILLAGE LLC
Practice address
509 Pineview Ave
Glencoe, AL 35905-1803
Phone
(256) 492-0935
Fax
(256) 492-0991
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. W Bart Scott
Title
Owner
Phone
(256) 492-0935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X D2801 AL Primary

Addresses

Primary practice location

509 Pineview Ave
Glencoe, AL 35905-1803

Mailing address

509 Pineview Ave
Glencoe, AL 35905-1803
Phone (256) 492-0935

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1052569Meadowood Retirement Village LLC509 Pineview Avenue, Glencoe, AL 35905Certificate of waiverMar 28, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1386805869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 PINEVIEW AVE",
            "city": "GLENCOE",
            "state": "AL",
            "postal_code": "359051803",
            "telephone_number": "256-492-0935",
            "fax_number": "256-492-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 PINEVIEW AVE",
            "city": "GLENCOE",
            "state": "AL",
            "postal_code": "359051803",
            "telephone_number": "256-492-0935",
            "fax_number": "256-492-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWOOD RETIREMENT VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "BART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-492-0935",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AL",
            "license": "D2801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glencoe, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.