MEADOWBROOK OF GRANBY
NPI 1972723963
Nursing Facility/Intermediate Care Facility in Granby, CT

Q: What is Athena Meadowbrook, LLC's NPI number?

The NPI number for Athena Meadowbrook, LLC is 1972723963. It was assigned to this organization in the NPPES registry on May 1, 2007. The provider is doing business as Meadowbrook Of Granby.

Q: What is Athena Meadowbrook, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since May 01, 2007

350 SALMON BROOK ST, GRANBY, CT 06035(860) 653-9888(860) 653-8938 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Meadowbrook Of Granby NPPES

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

MEADOWBROOK OF GRANBY (NPI 1972723963) is a healthcare organization registered as a nursing facility/intermediate care facility in Granby, Connecticut and active in the NPI registry since May 2007. The organization lists Jean A Rosa, Director Of Ar, as its authorized official.

NPPES Registry Identity

NPI1972723963

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameATHENA MEADOWBROOK, LLC

Location Address350 SALMON BROOK STGranby, CT 06035-1842

Mailing Address350 Salmon Brook StGranby, CT 06035-1842 · (860) 653-9888 · Fax (860) 653-8938

Phone(860) 653-9888

Fax(860) 653-8938

Organization SubpartNo

Authorized OfficialJean A RosaDirector Of Ar · (860) 751-3900

Enumeration DateMay 1, 2007

Last NPPES UpdateJuly 16, 2013

✔ NPI 1972723963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in CT · 2080C

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

350 SALMON BROOK ST, Granby, CT 06035

Open in Google Maps ↗

Other Names 1

Doing Business AsMeadowbrook Of Granby

Other Identifiers 1

Medicaid0095225CT

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.

ATHENA MEADOWBROOK, LLC

Skilled Nursing Facility