Tucker Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TUCKER HEALTH CARE LLC

Doing business as

Meadowbrook Health Care Center

Practice address

4608 Lawrenceville Hwy
Tucker, GA 30084-2903

Phone

(770) 491-9444

Fax

(770) 491-8760

NPI assigned

Jul 12, 2006

Last updated

Sep 29, 2008By 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

Tygh Brogdon

Title

Manager

Phone

(770) 650-8773

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Meadowbrook Health Care Center Doing business as

Tax ID family

Meadowbrook Operator 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 Operator LLC

  dba Meadowbrook Health and Rehab

  • Skilled Nursing Facility
  • Tucker, GA
  • NPI 1508038753
  NPD tax ID

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1811922040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 LAWRENCEVILLE HWY",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842903",
            "telephone_number": "770-491-9444",
            "fax_number": "770-491-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 LAWRENCEVILLE HWY",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842903",
            "telephone_number": "770-491-9444",
            "fax_number": "770-491-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "TYGH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-650-8773"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000141864A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowbrook Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Birtukan Tsegaye
• Hamrawit Tsegaye, CMT
• Tucker Chiropractic
• Tucker Chiropractic Associates Incorporated
• Tucker Family Practice, L.L.C.
• Tucker Internal Medicine, LLC
• Tucker Investments & Associates LLC (Grace Healthcare of Tucker)
• Tucker Medical Center P.C.
• Tucker Neck and Back, LLC
• Tucker Operating Company LLC

• Skilled Nursing Facility in Tucker, GA
• Providers in Tucker, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.