Meadowbrook Of Granby

LBN: Athena Meadowbrook, Llc
Meadowbrook Of Granby is an health care organization with primary practice located at 350 Salmon Brook St , Granby CT 06035-1842. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Athena Meadowbrook, Llc can be contacted via phone (860) 653-9888, or through Santilli, Lawrence G. via phone (860) 751-3900.

Contact Information

Primary practice address
350 Salmon Brook St Granby CT 06035-1842
Phone: (860) 653-9888
Fax: (860) 653-8938
Website:
Map and Directions
Authorized official contact:
Name: Santilli, Lawrence G.
Phone: (860) 751-3900

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2080C Connecticut

Profile Details

NPI number 1770547473
LBN Legal business name Athena Meadowbrook, Llc
DBA Doing business as Meadowbrook Of Granby
Authorized official Santilli, Lawrence G.
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 12th, 2006
Last updated Feb 15th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770547473 NPPES
Connecticut MEDICAID 0020800

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