MEADOW BROOK MEDICAL CARE FACILITY (NPI# 1790179828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790179828 |
| Entity Type | Organization |
| Organization Name | MEADOW BROOK MEDICAL CARE FACILITY |
| Other Organization Name | MEADOW BROOK OUTPATIENT THERAPY |
| Practice Address |
4543 S M 88 Hwy Bellaire MI 49615-9109 |
| Practice Telephone | 2315338661 |
| Practice Fax Number | 2315334841 |
| Mailing Telephone | 2315338661 |
| Mailing Fax Number | 2315334841 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | MARNA ROBERTSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2315338661 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | Y |
| Parent Organization Name | MEADOW BROOK MEDICAL CARE FACILITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 61-2085141 | 05 |
| Other Name | Type Code |
|---|---|
| Meadow Brook Outpatient Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497398 | Meadow Brook Medical Care Facility | Skilled Nursing Facility | 4543 S M 88 Hwy, Bellaire, MI 49615-9109 | 2005-06-21 |
| Street Address |
4543 S M 88 HWY |
| City | BELLAIRE |
| State | MI |
| Zip Code | 49615-9109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497398 | Meadow Brook Medical Care Facility | Skilled Nursing Facility | 4543 S M 88 Hwy, Bellaire, MI 49615-9109 | 2005-06-21 |
| 1013541044 | Mollie Catherine Murphy | Occupational Therapist | 4543 S M 88 Hwy, Bellaire, MI 49615-9109 | 2020-02-28 |
| 1134787104 | Beth Morley | Occupational Therapist | 4543 S M 88 Hwy, Bellaire, MI 49615-9109 | 2019-06-04 |
| 1013413970 | Carl Thomas Heldt | Occupational Therapist | 4543 S M 88 Hwy, Bellaire, MI 49615-9109 | 2018-03-31 |
| 1245501097 | Paul James Taylor | Speech-Language Pathologist | 4543 S M 88 Hwy, Bellaire, MI 49615-9109 | 2012-01-24 |
| 1467407106 | Kimberly Marie Nicholls | Physician Assistant | 4543 S M 88 Hwy, Bellaire, MI 49615-9109 | 2006-05-23 |
| 1265403679 | Peter H Viall Jr. | Family Medicine | 4543 S M 88 Hwy, Bellaire, MI 49615-9109 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063840205 | Adam William Wayne Schwarz | Chiropractor | 219 N. Bridge St, Bellaire, MI 49615 | 2013-10-25 |
| 1699971390 | Denise V Mcdaniel | Chiropractor | 101 N Bridge, Bellaire, MI 49615 | 2007-06-21 |
| 1487868717 | Kevin M Keenan | Physical Therapist | 102 S. Bridge Street, Bellaire, MI 49615 | 2007-05-09 |
| 1457403727 | North Shore Physical Therapy P.C. | Physical Therapist | 102 S. Bridge St., Bellaire, MI 49615 | 2007-01-17 |
| 1669572996 | Prevos Family Markets, Inc | Pharmacy | 211 South Division, Bellaire, MI 49615 | 2006-09-25 |
| 1801318936 | Dawn Krieger | Registered Nurse | Po Box 220, Bellaire, MI 49615-0220 | 2017-07-11 |
| 1821189598 | Bellaire Pharmacy Inc | Pharmacy | 120 N Bridge St, Bellaire, MI 49615-5105 | 2006-09-27 |
| 1144611286 | Township Ambulance Authority | Ambulance | 4405 S M 88 Hwy, Bellaire, MI 49615-5111 | 2015-02-11 |
| 1407249915 | Jeffrey Carpenter | Specialist/Technologist | 2047 Orchard Hill Rd, Bellaire, MI 49615-8449 | 2015-03-08 |
| 1245525757 | Kaitlyn Anne Pasik | Pharmacist | 4955 S M 88 Hwy, Bellaire, MI 49615-9082 | 2011-06-13 |
| Find all providers in zip 49615 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912279001 | The Pain Care Center Inc. | Clinic/Center | 5555 West Loop S Ste 210, Bellaire, TX 77401-2106 | 2012-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257287 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 5858 S 47 Rd, Cadillac, MI 49601-9508 | 2020-05-26 |
| 1538790241 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 2325 Rockwell Dr, Midland, MI 48642-9325 | 2020-01-31 |
| 1386295210 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 641 W 9 Mile Rd Ste D, Ferndale, MI 48220-1779 | 2019-09-23 |
| 1013566199 | J.l Hunt Therapeutics | Clinic/Center | 43700 Woodward Ave Ste 108, Bloomfield Hills, MI 48302-5060 | 2019-09-10 |
| 1548828502 | Chsc Inc | Clinic/Center | 10125 W 8 Mile Rd, Detroit, MI 48221-1004 | 2019-06-04 |
| 1427521723 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3951 W Milham Ave, Portage, MI 49024-1088 | 2019-01-09 |
| 1366934184 | Rehabcare Group East, LLC | Clinic/Center | 1300 N Telegraph Rd, Dearborn, MI 48128-1204 | 2018-06-06 |
| 1902305048 | Nrmi, LLC | Clinic/Center | 14461 E 11 Mile Rd, Warren, MI 48088-4886 | 2018-02-05 |
| 1194230888 | Blue Water Speech Therapy | Clinic/Center | 7950 Caberfae Trl, Clarkston, MI 48348-3707 | 2017-12-05 |
| 1093236291 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1620 S Mission St Ste O, Mt Pleasant, MI 48858-4466 | 2017-06-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEADOW BROOK MEDICAL CARE FACILITY.
| 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.