Meadows

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

MEADOWS

Practice address

3250 S Plum Grove Rd
Rolling Meadows, IL 60008

Phone

(847) 397-0055

Fax

(847) 397-0965

NPI assigned

Aug 29, 2007

Last updated

Apr 20, 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

Robin Witt

Title

Chief Financial Officer

Phone

(847) 397-0055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881888204. Details of each certification follow.

• CCN 14G026 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 14G026

Legal name

MEADOWS

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Mar 31, 1974

Last certification

Aug 8, 2024

Beds

99

Ownership / control type

Private (proprietary)

Facility address

3250 South Plum Grove Road
Rolling Meadows, IL 60008

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

CLIA laboratory certificates

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1881888204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 S PLUM GROVE RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "60008",
            "telephone_number": "847-397-0055",
            "fax_number": "847-397-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 S PLUM GROVE RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "60008",
            "telephone_number": "847-397-0055",
            "fax_number": "847-397-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "847-397-0055"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Maxwell, M.A., CCC-SLP
• Maya Services PC
• Natalie Rose McDermott
• Kevin P McKian
• Kenneth McQuade, M.D.
• Medpoint Healthcare LLC (Medpoint Pharmacy)
• Meghana Prabha DDS PC (Willow Bend Dental Care)
• Ami Mehta
• Meijer Great Lakes Limited Partnership (Meijer Pharmacy #228)
• Patrick Mercho, MD

• Intellectual Disabilities Intermediate Care Facility in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Intellectual Disabilities Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.