Concord Care Center of Hartford Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5645 Issued in OH

Legal business name

CONCORD CARE CENTER OF HARTFORD INC.

Doing business as

Meadowbrook Manor

Practice address

3090 Five Points Hartford Rd
Fowler, OH 44418-9726

Phone

(330) 772-5253

Fax

(330) 772-7771

NPI assigned

Oct 31, 2006

Last updated

Jul 12, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

CONCORD CARE CENTER OF HARTFORD INC.As reported in NPPES

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

Authorized official

Name

Mrs. Debra A Ifft, CPA

Title

Ceo

Phone

(330) 759-2357

Specialties & licenses 1

Addresses

Other names 1

• Meadowbrook Manor Doing business as

Part of

Concord Care Center of Hartford Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Concord Care Center of Hartford, Inc.

  dba Meadowbrook Manor

  • Skilled Nursing Facility
  • Fowler, OH
  • NPI 1427049758
  NPPES parent name

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1497831606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 FIVE POINTS HARTFORD RD",
            "city": "FOWLER",
            "state": "OH",
            "postal_code": "444189726",
            "telephone_number": "330-772-5253",
            "fax_number": "330-772-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 FIVE POINTS HARTFORD RD",
            "city": "FOWLER",
            "state": "OH",
            "postal_code": "444189726",
            "telephone_number": "330-772-5253",
            "fax_number": "330-772-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD CARE CENTER OF HARTFORD INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCORD CARE CENTER OF HARTFORD INC.",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "IFFT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-759-2357",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "5645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowbrook Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vivian Diane Bundy
• Concord Care Center of Hartford, Inc. (Meadowbrook Manor)
• Continent Health Company of Hartford, LLC (Meadowbrook Manor)
• Rachael Ann Fenstermaker
• Dana Maureen Fitzgerald, OTR/L
• Melodie L Hunter

• Durable Medical Equipment & Medical Supplies in Fowler, OH
• Providers in Fowler, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.