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MEADOW BROOK TERRACE
NPI 1598197279
Assisted Living Facility in Carthage, NY

Active since August 05, 2013CLIA 33D2268303 · Waiver
21957 COLE RD, CARTHAGE, NY 13619(315) 519-7246 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Meadow Brook Terrace NPPES

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

MEADOW BROOK TERRACE (NPI 1598197279) is a healthcare organization registered as an assisted living facility in Carthage, New York and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Joesph W Millard, Administrator, as its authorized official.

NPPES Registry Identity

NPI1598197279
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMEADOW BROOK TERRACE
Location Address21957 COLE RDCarthage, NY 13619-9622
Mailing Address21957 Cole RdCarthage, NY 13619-9622 · (315) 519-7246
Phone(315) 519-7246
Organization SubpartNo
Authorized OfficialJoesph W MillardAdministrator · (315) 519-7246
Enumeration DateAugust 5, 2013
Last NPPES UpdateJuly 21, 2022
✔ NPI 1598197279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
21957 COLE RD, Carthage, NY 13619
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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 33D2268303

Meadowbrook Terrace · Carthage, NY
Active · expires Mar 26, 2027
CLIA Number33D2268303
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 8, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Michael E. Gordon
Laboratory Phone(315) 519-5286
Laboratory LocationMeadowbrook Terrace21957 Cole Rd, Carthage, NY 13619
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

CARTHAGE AREA HOSPITAL INC
Clinic/Center (Rural Health)
21957 COLE RD
CARTHAGE, NY 13619
Jefferson County (315) 519-1246
PAULINE BECK LMSW
Social Worker
21957 COLE RD
CARTHAGE, NY 13619
Jefferson County (315) 493-5075

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 Meadow Brook Terrace's NPI number?

The NPI number for Meadow Brook Terrace is 1598197279. It was assigned to this organization in the NPPES registry on August 5, 2013.

Where is Meadow Brook Terrace located?

Meadow Brook Terrace is located at 21957 Cole Rd, Carthage, NY 13619. The listed phone number is (315) 519-7246.

What is Meadow Brook Terrace's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Meadow Brook Terrace hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2268303) is associated with this NPI, valid through March 26, 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 Meadow Brook Terrace was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.