ATHENA MEADOWBROOK, LLC (NPI# 1770547473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770547473 |
| Entity Type | Organization |
| Organization Name | ATHENA MEADOWBROOK, LLC |
| Other Organization Name | MEADOWBROOK OF GRANBY |
| Practice Address |
350 Salmon Brook St Granby CT 06035-1842 |
| Practice Telephone | 8606539888 |
| Practice Fax Number | 8606538938 |
| Mailing Telephone | 8606539888 |
| Mailing Fax Number | 8606538938 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2013-07-16 |
| Authorized Official Name | MRS. JEAN ROSA (DIRECTOR OF AR) |
| Authorized Official Telephone | 8607513900 |
| Is Organization Subpart | Y |
| Parent Organization Name | ATHENA HEALTH CARE ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2080C | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 0020800 | 05 |
| Other Name | Type Code |
|---|---|
| Meadowbrook of Granby | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134562812 | Athena Meadowbrook, LLC | Skilled Nursing Facility | 350 Salmon Brook St, Granby, CT 06035-1842 | 2013-04-11 |
| 1972723963 | Athena Meadowbrook, LLC | Nursing Facility/Intermediate Care Facility | 350 Salmon Brook St, Granby, CT 06035-1842 | 2007-05-01 |
| Street Address |
350 SALMON BROOK ST |
| City | GRANBY |
| State | CT |
| Zip Code | 06035-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326007675 | Tammy Jean Haack | Physical Therapist | 350 Salmon Brook St, Granby, CT 06035-1842 | 2006-03-23 |
| 1134562812 | Athena Meadowbrook, LLC | Skilled Nursing Facility | 350 Salmon Brook St, Granby, CT 06035-1842 | 2013-04-11 |
| 1437436169 | Meadowbrook Center Inc | Clinic/Center | 350 Salmon Brook St, Granby, CT 06035-1842 | 2011-11-09 |
| 1972723963 | Athena Meadowbrook, LLC | Nursing Facility/Intermediate Care Facility | 350 Salmon Brook St, Granby, CT 06035-1842 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801348214 | Granby Pharmacy LLC | Pharmacy | 9 Hartford Avenue, Granby, CT 06035 | 2016-11-02 |
| 1851625271 | Melissa Marie Masse | Registered Nurse | 20 Bank Street, Granby, CT 06035 | 2009-10-01 |
| 1194937797 | Hope Goldstein | Physical Therapist | 18 E. Granby Road, Granby, CT 06035 | 2007-05-04 |
| 1801918909 | Michael A Ungerleider | Dentist | 41 Hartford Ave, Granby, CT 06035 | 2007-04-06 |
| 1801927058 | Kenneth Edward Endres | Dentist | 33 Hartford Avenue, Box 330, Granby, CT 06035 | 2007-03-08 |
| 1104921956 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 20 Bank St, Granby, CT 06035 | 2006-09-14 |
| 1154426377 | Michele Twigg | Internal Medicine | 18 E. Granby Rd, 1st Floor, Granby, CT 06035 | 2006-09-13 |
| 1063517282 | Joseph Maglio | Internal Medicine | 18 East Granby Road, 1st Floor, Granby, CT 06035 | 2006-09-13 |
| 1184727992 | John Scott Hitchiner | Chiropractor | 50 Hartford Ave, Granby, CT 06035 | 2006-09-07 |
| 1174531446 | Jean M Keating | Pharmacist | 9 Hartford Ave, Granby, CT 06035 | 2006-08-03 |
| Find all providers in zip 06035 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134562812 | Athena Meadowbrook, LLC | Skilled Nursing Facility | 350 Salmon Brook St, Granby, CT 06035-1842 | 2013-04-11 |
| 1073545067 | Granby No 1 Inc | Skilled Nursing Facility | 301 S Main St, Granby, MO 64844-8336 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053825091 | Athena Newtown Ct LLC | Skilled Nursing Facility | 139 Toddy Road, Newtown, CT 06470 | 2017-11-29 |
| 1255851481 | Stella Medical Care LLC | Skilled Nursing Facility | Villa At Stamford 88 Rock Rimmon Rd, Stamford, CT 06903 | 2017-06-20 |
| 1275069221 | 88 Clark Operating LLC | Skilled Nursing Facility | 88 Clark Ln, Waterford, CT 06385-2118 | 2017-05-11 |
| 1568837102 | Amanda Byrnes | Skilled Nursing Facility | 19 Sandra Ave, Terryville, CT 06786-5016 | 2015-12-08 |
| 1629447727 | Medi-np, LLC | Skilled Nursing Facility | 25 Hidden Pines Cir, Meriden, CT 06451-2212 | 2015-09-18 |
| 1982072062 | Waterbury Gardens Nursing and Rehab LLC | Skilled Nursing Facility | 128 Cedar Ave, Waterbury, CT 06705-2700 | 2015-09-08 |
| 1275918443 | 55 Kondracki Lane Operations LLC | Skilled Nursing Facility | 55 Kondracki Ln, Wallingford, CT 06492-4951 | 2015-07-29 |
| 1285012369 | Katherine Bushey | Skilled Nursing Facility | 1270 Sherman Ave, Hamden, CT 06514-1330 | 2015-05-11 |
| 1053798256 | Ltc Dental LLP | Skilled Nursing Facility | 174 Scott Rd, Prospect, CT 06712-1300 | 2015-04-27 |
| 1316354228 | Maplewood Mayflower Place Snf LLC | Skilled Nursing Facility | 1 Gorham Is, Westport, CT 06880-3217 | 2014-07-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.