Active NPIOrganization

Athena Meadowbrook, LLC

Skilled Nursing Facility in Granby, Connecticut

NPI Number1134562812
Practice location
350 Salmon Brook St, Granby, CT 06035-1842
Fax
860-653-8938
Last updated
April 11, 2013

Athena Meadowbrook, LLC is a healthcare organization based in Granby, CT. Athena Meadowbrook, LLC practices in Granby, CT. The NPI Number for Athena Meadowbrook, LLC is 1134562812 and holds a License No. 2080c (CT). The current practice location address for Athena Meadowbrook, LLC is 350 Salmon Brook St, Granby, CT 06035-1842 and can be reached out via phone at 860-653-9888 and via fax at 860-653-8938.

Provider Profile Details

NPI Number
1134562812
Provider Name
Athena Meadowbrook, LLC
Provider Entity Type
Organization
Address
350 Salmon Brook St, Granby, CT 06035-1842
Phone Number
860-653-9888
Fax Number
860-653-8938
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
Yes
Parent Organization
Athena Health Care Associates
Authorized Official
Michael Moser · Cfo · 860-751-3900
Other Names
Meadowbrook Of Granby (Doing Business As)
Provider Enumeration Date
April 11, 2013
Last Update Date
April 11, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Salmon Brook St
Granby, CT 06035-1842
City
Granby
Zip
06035-1842
Phone Number
860-653-9888
Fax Number
860-653-8938
Granby, CT 06035Get directions →

Provider Business Mailing Address Details

Address
350 Salmon Brook St
Granby, CT 06035-1842
City
Granby
State
CT
Zip
06035-1842
Phone Number
860-653-9888
Fax Number
860-653-8938

License Information

License Number
2080c
License State
CT
Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Athena Meadowbrook, LLC?

The NPI number of Athena Meadowbrook, LLC is 1134562812. It was assigned on April 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Athena Meadowbrook, LLC?

Athena Meadowbrook, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in CT under license number 2080c.

Where does Athena Meadowbrook, LLC practice?

The practice location is 350 Salmon Brook St, Granby, CT 06035-1842. The office can be reached at 860-653-9888 (phone) or 860-653-8938 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134562812 directly on the NPPES registry website.

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