ATHENA MEADOWBROOK, LLC NPI 1972723963
Nursing Facility/Intermediate Care Facility in Granby, CT

About ATHENA MEADOWBROOK, LLC

Athena Meadowbrook, Llc is a provider established in Granby, Connecticut operating as a Nursing Facility/intermediate Care Facility. The NPI number of Athena Meadowbrook, Llc is 1972723963 and was assigned on May 2007. The practitioner's primary taxonomy code is 313M00000X with license number 2080C (CT). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Meadowbrook Of Granby. The authorized official of this NPI record is Mrs. Jean A Rosa (Director Of Ar)

NPI
1972723963
Provider NameATHENA MEADOWBROOK, LLC
Location Address350 SALMON BROOK ST GRANBY, CT 06035
Location Phone(860) 653-9888
Mailing Address350 SALMON BROOK ST GRANBY, CT 06035
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMEADOWBROOK OF GRANBY
Other Name TypeDoing Business As (3)
Enumeration Date05-01-2007
Last Update Date07-16-2013


Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code313M00000X
ClassificationNursing Facility/Intermediate Care Facility
TypeNursing & Custodial Care Facilities
License No.2080C
License StateCT
Taxonomy DescriptionAn 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

ATHENA MEADOWBROOK, LLC
350 SALMON BROOK ST
GRANBY, CT
ZIP 06035
Phone: (860) 653-9888
Fax: (860) 653-8938

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Mailing Address

ATHENA MEADOWBROOK, LLC
350 SALMON BROOK ST
GRANBY, CT
ZIP 06035
Phone: (860) 653-9888
Fax: (860) 653-8938


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameMRS. JEAN A ROSA
Authorized Official TitleDIRECTOR OF AR
Authorized Official Phone(860) 751-3900

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0095225MEDICAID (05)CT

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972723963
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291421426912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 4 + 2 + 6 + 9 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1972723963 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326007675MRS. TAMMY JEAN HAACK MS, PT
Individual
Physical Therapist350 SALMON BROOK ST
GRANBY, CT 06035
(860) 653-9888
1437436169MEADOWBROOK CENTER INC
Organization
Clinic/Center (Physical Therapy)350 SALMON BROOK ST
GRANBY, CT 06035
(860) 653-9888
1134562812ATHENA MEADOWBROOK, LLC
Organization
Skilled Nursing Facility350 SALMON BROOK ST
GRANBY, CT 06035
(860) 653-9888
1770547473ATHENA MEADOWBROOK, LLC
Organization
Skilled Nursing Facility350 SALMON BROOK ST
GRANBY, CT 06035
(860) 653-9888

Frequently Asked Questions

What is ATHENA MEADOWBROOK, LLC NPI number?

The NPI number assigned to ATHENA MEADOWBROOK, LLC is 1972723963, registered as an "organization" on May 01, 2007

Where is ATHENA MEADOWBROOK, LLC located?

The provider is located at 350 Salmon Brook St Granby, Ct 06035 and the phone number is (860) 653-9888

What kind of medical provider is ATHENA MEADOWBROOK, LLC?

This medical organization specializes in Nursing Facility/Intermediate Care Facility

What insurance does ATHENA MEADOWBROOK, LLC accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

How do I update my NPI information?

The NPI record of ATHENA MEADOWBROOK, LLC was last updated on May 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]