Green Meadows

LBN: Green Meadows
Green Meadows is an health care organization with primary practice located at 301 N New Madrid St , Sikeston MO 63801-1971. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Green Meadows can be contacted via phone (573) 471-5503, or through Hicks-Master, Angela Dawn via phone (870) 243-3960.

Contact Information

Primary practice address
301 N New Madrid St Sikeston MO 63801-1971
Phone: (573) 471-5503
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hicks-Master, Angela Dawn Advanced Practice Nurse (APN)
Phone: (870) 243-3960

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1790980548
LBN Legal business name Green Meadows
DBA Doing business as
Authorized official Hicks-Master, Angela Dawn Advanced Practice Nurse (APN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2007
Last updated Nov 6th, 2019 - about 5 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 1790980548 NPPES
Missouri MEDICAID 266736404

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