Meadowwood Care Center Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2240 Issued in OH

Legal business name

MEADOWWOOD CARE CENTER INC.

Practice address

61 Stephens Ave
Georgetown, OH 45121-9509

Phone

(937) 378-3727

Fax

(937) 378-3733

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jack Crout, LNHA

Title

Owner / Administrator

Phone

(937) 378-3727

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669444808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 STEPHENS AVE",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451219509",
            "telephone_number": "937-378-3727",
            "fax_number": "937-378-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 STEPHENS AVE",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451219509",
            "telephone_number": "937-378-3727",
            "fax_number": "937-378-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWWOOD CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROUT",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "937-378-3727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2326245",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivan D McFann Jr., LPN
• Brian E McHenry
• Michael Scott McHenry, MD
• Felicia Rae McMullen, LCDCII
• Meadow Wood Care Center
• Mary Louise Mell, CDCA
• Mercy Health - Clermont Hospital LLC
• Courtney Mickler, MA, CF-SLP
• Andrea J Milani, LCDC
• Elizabeth A Molodetz Schlueter, LPN, CDCA, SWA

• Skilled Nursing Facility in Georgetown, OH
• Providers in Georgetown, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.