Meadowbrook Blvd. Operations, LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

MEADOWBROOK BLVD. OPERATIONS, LLC

Doing business as

Paonia Care and Rehabilitation Center

Practice address

1625 Meadowbrook Blvd
Paonia, CO 81428-9325

Phone

(970) 527-4837

Fax

(970) 527-6407

NPI assigned

Oct 18, 2019

Last updated

Apr 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amber M Hopkins

Title

Director of Ar

Phone

(719) 661-0764

Specialties & licenses 1

Addresses

Other names 1

• Paonia Care and Rehabilitation Center Doing business as

Tax ID family

Meadowbrook Blvd Operations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Meadowbrook Blvd. Operations, LLC

  dba Paonia Care & Rehabilitation Center

  • Skilled Nursing Facility
  • Paonia, CO
  • NPI 1053768192
  NPD tax ID

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1639712029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26522 LA ALAMEDA STE 300",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918302",
            "telephone_number": "949-449-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEADOWBROOK BLVD",
            "city": "PAONIA",
            "state": "CO",
            "postal_code": "814289325",
            "telephone_number": "970-527-4837",
            "fax_number": "970-527-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK BLVD. OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "719-661-0764"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paonia Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paonia Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Armstrong Leighton, P.T.
• Mark W Malone
• Richard M. McGaughey, RPH.
• Caroline McMahon, LPCC
• Meadowbrook Blvd. Operations, LLC (Paonia Care & Rehabilitation Center)
• Jessie Melison
• Jason Christopher Moore, LMT
• Moved by Music, LLC
• North Fork Ambulance Assn., Inc.
• North Fork Medical Clinic PC

• Respite Care in Paonia, CO
• Providers in Paonia, CO by specialty
• Respite Care in Colorado

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