Meadow Wood Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3566 Issued in OH

Legal business name

MEADOW WOOD CARE CENTER

Doing business as

Meadow Wood Nursing Home

Practice address

61 Stephens Ave
Georgetown, OH 45121-9509

Phone

(937) 378-3727

Fax

(937) 378-3733

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Jack Crout, NHA

Title

Administrator

Phone

(937) 378-3727

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Meadow Wood Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1821106576",
    "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": "MEADOW WOOD CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "CROUT",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-378-3727",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2326245",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Wood Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kendra Dawn McDaniel, APRN-FNP
• Ivan D McFann Jr., LPN
• Brian E McHenry
• Michael Scott McHenry, MD
• Felicia Rae McMullen, LCDCII
• Meadowwood Care Center Inc.
• Mary Louise Mell, CDCA
• Mercy Health - Clermont Hospital LLC (Mercy Health-Georgetown Family Medicine)
• Courtney Mickler, MA, CF-SLP
• Andrea J Milani, LCDC

• 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 Jul 12, 2007; 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.