MEADOWBROOK MANOR
NPI 1427049758
Skilled Nursing Facility in Fowler, OH

Active since November 04, 2005CLIA 36D0879474 · Waiver
3090 FIVE POINTS HARTFORD RD, FOWLER, OH 44418(330) 772-5253(330) 772-7771 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Meadowbrook Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEADOWBROOK MANOR (NPI 1427049758) is a healthcare organization registered as a skilled nursing facility in Fowler, Ohio and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Debra A Ifft, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427049758
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCONCORD CARE CENTER OF HARTFORD, INC.
Location Address3090 FIVE POINTS HARTFORD RDFowler, OH 44418-9726
Mailing Address3090 Five Points Hartford RdFowler, OH 44418-9726 · (330) 772-5253 · Fax (330) 772-7771
Fax(330) 772-7771
Organization SubpartNo
Authorized OfficialDebra A IfftCeo · (330) 759-2357
Enumeration DateNovember 4, 2005
Last NPPES UpdateJuly 12, 2007
NPI 1427049758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OH · 5645
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3090 FIVE POINTS HARTFORD RD, Fowler, OH 44418

Other Names 1

Doing Business AsMeadowbrook Manor

Other Identifiers 6

Medicare PIN365902OH
Other1497831606OH · Medicare Dme Supplier Npi
Medicare NSC1265330001OH
Other000000334532OH · Anthem
Medicare ID-Type Unspecified365902OH · Provider Number
Medicaid2109677OH

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0879474

Concord Care Center Of Hartford Inc · Fowler, OH
Active · expires Nov 18, 2027
CLIA Number36D0879474
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorElizabeth Morgan
Laboratory Phone(330) 772-5253
Laboratory LocationConcord Care Center Of Hartford Inc3090 Five Points-Hartford Rd, Fowler, OH 44418
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
3090 FIVE POINTS HARTFORD RD
FOWLER, OH 44418
Nurse Practitioner (Family)
3090 FIVE POINTS HARTFORD RD
FOWLER, OH 44418
Durable Medical Equipment & Medical Supplies
3090 FIVE POINTS HARTFORD RD
FOWLER, OH 44418
Skilled Nursing Facility
3090 FIVE POINTS HARTFORD RD
FOWLER, OH 44418
Internal Medicine
3090 FIVE POINTS HARTFORD RD
FOWLER, OH 44418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Concord Care Center Of Hartford, Inc.'s NPI number?

The NPI number for Concord Care Center Of Hartford, Inc. is 1427049758. It was assigned to this organization in the NPPES registry on November 4, 2005. The provider is doing business as Meadowbrook Manor.

Where is Concord Care Center Of Hartford, Inc. located?

Concord Care Center Of Hartford, Inc. is located at 3090 Five Points Hartford Rd, Fowler, OH 44418. The listed phone number is (330) 772-5253.

What is Concord Care Center Of Hartford, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Concord Care Center Of Hartford, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0879474) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Concord Care Center Of Hartford, Inc. was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.