Meadowbrook Manor

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MEADOWBROOK MANOR

Practice address

31 Oswego St
Hannibal, NY 13074-2115

Phone

(315) 564-5555

Fax

(315) 564-5555

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Bien J Concepcion

Title

President

Phone

(224) 520-0320

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1972963643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OSWEGO ST",
            "city": "HANNIBAL",
            "state": "NY",
            "postal_code": "130742115",
            "telephone_number": "315-564-5555",
            "fax_number": "315-564-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OSWEGO ST",
            "city": "HANNIBAL",
            "state": "NY",
            "postal_code": "130742115",
            "telephone_number": "315-564-5555",
            "fax_number": "315-564-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "BIEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-520-0320"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany L Labonoski I, LPN
• Wendie Grace Lambert
• Amy Laurion
• Jennifer Amy Lavallee, LPN
• Dawn Louise
• Northern Oswego County Health Services, Inc. Dba Connextcare
• Oswego County Opportunities, Inc.
• Perkins Chiropractic, PLLC
• Franklin Lawrence Perkins II, D.C.
• Carole Ann Schwitter, LPN

• Adult Care Home Facility in Hannibal, NY
• Providers in Hannibal, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.