Meadow Brook Adult Family Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MEADOW BROOK ADULT FAMILY HOME LLC

Practice address

1112 O St NE
Auburn, WA 98002-3517

Phone

(206) 612-0692

Fax

(425) 606-4308

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Margaret Mwangi

Title

Afh Provider

Phone

(206) 612-0692

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1598504334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 O ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980023517",
            "telephone_number": "206-612-0692",
            "fax_number": "425-606-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 O ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980023517",
            "telephone_number": "206-612-0692",
            "fax_number": "425-606-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW BROOK ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "MWANGI",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "AFH PROVIDER",
        "authorized_official_telephone_number": "206-612-0692"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keller McNairy
• Wandee McNett
• Brian Kelly McQuade, LICSW/CDPT
• Kelsie McQueen-Gerhart
• Victoria Marie Mead, M.D.
• Ainsley Kay Medina
• Alexandra Medina
• Janiyah Medina, CBT
• Hannah Megran, COTA
• Dennis Lee Meidinger, D.D,S, M.S.

• Adult Care Home Facility in Auburn, WA
• Providers in Auburn, WA by specialty
• Adult Care Home Facility in Washington

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