NPIMap

Organization Active NPI

Meadow Ridge

  • Adult Care Home Facility
  • Willow Street, PA
National Provider Identifier
1609250174
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
322050 Issued in PA
Legal business name
MEADOW RIDGE
Practice address
900 Willow Valley Lakes Dr
Willow Street, PA 17584-9051
Phone
(717) 464-6816
Fax
(717) 490-8110
NPI assigned
Jul 15, 2015
Last updated
Jul 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Mrs. Lenore Hutchinson
Title
Personal Care Administrator
Phone
(717) 464-6816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 322050 PA Primary

Addresses

Primary practice location

900 Willow Valley Lakes Dr
Willow Street, PA 17584-9051

Mailing address

900 Willow Valley Lakes Dr
Willow Street, PA 17584-9051
Phone (717) 464-6816

National Provider Directory

National Provider Directory
Tax ID family
Willow Valley Communities6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1609250174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WILLOW VALLEY LAKES DR",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849051",
            "telephone_number": "717-464-6816",
            "fax_number": "717-490-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WILLOW VALLEY LAKES DR",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849051",
            "telephone_number": "717-464-6816",
            "fax_number": "717-490-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "LENORE",
        "authorized_official_title_or_position": "PERSONAL CARE ADMINISTRATOR",
        "authorized_official_telephone_number": "717-464-6816",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "PA",
            "license": "322050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Street, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.