Active NPI
Meadow Brook Medical Care Facility
Doing business as Meadow Brook Outpatient Therapy
- Rehabilitation Clinic/Center
- Bellaire, MI
National Provider Identifier
1790179828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- MEADOW BROOK MEDICAL CARE FACILITY
- Doing business as
- Meadow Brook Outpatient Therapy
- Practice address
- 4543 S M 88 Hwy
Bellaire, MI 49615-9109 - Phone
- (231) 533-8661
- Fax
- (231) 533-4841
- NPI assigned
- Mar 26, 2015
- Last updated
- Dec 12, 2016
- Organization subpart
- Yes
- Parent organization
- MEADOW BROOK MEDICAL CARE FACILITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marna Robertson, NHA
- Title
- Administrator
- Phone
- (231) 533-8661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
4543 S M 88 Hwy
Bellaire, MI 49615-9109
Mailing address
4543 S M 88 Hwy
Bellaire, MI 49615-9109
Phone (231) 533-8661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61-2085141 | Medicaid | MI |
Other names 1
- Meadow Brook Outpatient Therapy
National Provider Directory
National Provider Directory- Part of
- Meadow Brook Medical Care Facility
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Bellaire, MI
- NPI 1861497398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481500800000",
"number": "1790179828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4543 S M 88 HWY",
"city": "BELLAIRE",
"state": "MI",
"postal_code": "496159109",
"telephone_number": "231-533-8661",
"fax_number": "231-533-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4543 S M 88 HWY",
"city": "BELLAIRE",
"state": "MI",
"postal_code": "496159109",
"telephone_number": "231-533-8661",
"fax_number": "231-533-4841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOW BROOK MEDICAL CARE FACILITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEADOW BROOK MEDICAL CARE FACILITY",
"enumeration_date": "2015-03-26",
"last_updated": "2016-12-12",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "MARNA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "231-533-8661",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61-2085141",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Meadow Brook Outpatient Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bellaire, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.