Meadowbrook Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MEADOWBROOK SERVICES, LLC

Doing business as

Meadowbrook Services, LLC

Practice address

2780 S Arlington Rd Ste 201
Coventry Township, OH 44312-4707

Phone

(330) 803-4969

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Daniel Unsworth, C-WIP, CESP

Title

Executive Director

Phone

(330) 803-4969

Specialties & licenses 1

Addresses

Other names 1

• Meadowbrook Services, LLC Doing business as

Locations

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1447866280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 OLD FORGE RD",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442609704",
            "telephone_number": "330-803-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S ARLINGTON RD STE 201",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443124707",
            "telephone_number": "330-803-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "UNSWORTH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-803-4969",
        "authorized_official_credential": "C-WIP, CESP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowbrook Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas P McCabe
• Ann Marie McHale, LPCCS, LSW
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• Mackenzie Mitchen, PHARMD

• In Home Supportive Care Agency in Coventry Township, OH
• Providers in Coventry Township, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.