Meadowwood Nursing Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MEADOWWOOD NURSING CENTER INC

Practice address

4414 Wilkinson Blvd
Gastonia, NC 28056-8271

Phone

(704) 824-5550

Fax

(704) 823-0058

NPI assigned

Aug 10, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Mary Lu Flory, RN NHA HR

Title

VP of Operations

Phone

(770) 993-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MeadowWood Nursing Center Doing business as

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1992707939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 WILKINSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568271",
            "telephone_number": "704-824-5550",
            "fax_number": "704-823-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 WILKINSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568271",
            "telephone_number": "704-824-5550",
            "fax_number": "704-823-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWWOOD NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "FLORY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LU",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "770-993-4000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN NHA HR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3445307",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MeadowWood Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.