Organization Active NPI

Meadows HCC, Inc

  • Skilled Nursing Facility
  • Cincinnati, OH
National Provider Identifier
1851387807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2222N Issued in OH
Legal business name
MEADOWS HCC, INC
Practice address
11760 Pellston CT
Cincinnati, OH 45240-4122
Phone
(513) 851-8400
Fax
(513) 674-3210
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen Jamison
Title
President
Phone
(513) 851-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2222N OH Primary

Addresses

Primary practice location

11760 Pellston CT
Cincinnati, OH 45240-4122

Mailing address

11760 Pellston CT
Cincinnati, OH 45240-4122
Phone (513) 851-8400

Other identifiers 2

IdentifierTypeStateIssuer
4221290001OtherOHDME
2517244MedicaidOH

Other names 1

  • The Meadows of Forrest Park Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0957371Meadows HCC11760 Pellston Court, Cincinnati, OH 45240Certificate of waiverMay 5, 2028

National Provider Directory

National Provider Directory

Locations

11760 Pellston Ct
Cincinnati, OH 45240
Phone (513) 851-8400

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851387807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 PELLSTON CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452404122",
            "telephone_number": "513-851-8400",
            "fax_number": "513-674-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 PELLSTON CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452404122",
            "telephone_number": "513-851-8400",
            "fax_number": "513-674-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS HCC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-851-8400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2222N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "4221290001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2517244",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Meadows of Forrest Park",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.