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

NPI Status: Active since May 01, 2007

Contact Information

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

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About MEADOWBROOK OF GRANBY

Meadowbrook Of Granby is a provider established in Granby, Connecticut operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1972723963 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 11 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)

NPI1972723963
Provider Legal NameATHENA MEADOWBROOK, LLC
Other Organization NameMEADOWBROOK OF GRANBY
Other Name TypeDoing Business As (3)
Location Address350 SALMON BROOK ST GRANBY, CT 06035
Location Phone(860) 653-9888
Mailing Address350 SALMON BROOK ST GRANBY, CT 06035
Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-01-2007
Last Update Date07-16-2013
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Location Map

Mailing Address

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

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code313M00000X
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.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JEAN A ROSA

Authorized Official TitleDIRECTOR OF AR
Authorized Official Phone(860) 751-3900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

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

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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 MEADOWBROOK OF GRANBY NPI number?

The NPI number assigned to this healthcare provider is 1972723963, enumerated in the NPI registry as an "organization" on May 01, 2007

Where is the provider located?

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

What is the provider specialty code?

This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

What insurance does MEADOWBROOK OF GRANBY accept?

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

How do I update my NPI information?

This NPI record 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].
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