Athena Meadowbrook, LLC
Nursing Facility/Intermediate Care Facility in Granby, Connecticut
1972723963- Practice location
- 350 Salmon Brook St, Granby, CT 06035-1842
- Phone
- 860-653-9888
- Fax
- 860-653-8938
- Last updated
- July 16, 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 1972723963 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
- 1972723963
- 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
- Nursing Facility/Intermediate Care Facility · 313M00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Jean A Rosa · Director Of Ar · 860-751-3900
- Other Names
- Meadowbrook Of Granby (Doing Business As)
- Provider Enumeration Date
- May 1, 2007
- Last Update Date
- July 16, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 350 Salmon Brook St
Granby, CT 06035-1842 - City
- Granby
- State
- Connecticut
- Zip
- 06035-1842
- Phone Number
- 860-653-9888
- Fax Number
- 860-653-8938
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
- Nursing Facility/Intermediate Care Facility · 313M00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nursing Facility/Intermediate Care Facility providers near Granby, CT
View all Nursing Facility/Intermediate Care Facility providers in Granby →Frequently Asked Questions
What is the NPI number of Athena Meadowbrook, LLC?
The NPI number of Athena Meadowbrook, LLC is 1972723963. It was assigned on May 1, 2007 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 Nursing Facility/Intermediate Care Facility (code 313M00000X), 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 1972723963 directly on the NPPES registry website.