Meadow Brook Terrace

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MEADOW BROOK TERRACE

Practice address

21957 Cole Rd
Carthage, NY 13619-9622

Phone

(315) 519-7246

NPI assigned

Aug 5, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Joesph W Millard

Title

Administrator

Phone

(315) 519-7246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598197279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21957 COLE RD",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199622",
            "telephone_number": "315-519-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21957 COLE RD",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199622",
            "telephone_number": "315-519-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW BROOK TERRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLARD",
        "authorized_official_first_name": "JOESPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-519-7246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Evonne McCartney, CRNA
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• Narmeen Minhas, DMD
• Mirza M Ashraf, M.D., P.C.
• Scott H Mitchell, M.D.

• Assisted Living Facility in Carthage, NY
• Providers in Carthage, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.