Provider Demographics
NPI:1215368840
Name:THE MEADOWS AT HALLTOWN, INC.
Entity Type:Organization
Organization Name:THE MEADOWS AT HALLTOWN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:N
Authorized Official - Last Name:COVRIG
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:615-323-9425
Mailing Address - Street 1:711 HALLTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:TN
Mailing Address - Zip Code:37148-9071
Mailing Address - Country:US
Mailing Address - Phone:615-323-9425
Mailing Address - Fax:615-745-5423
Practice Address - Street 1:711 HALLTOWN RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:TN
Practice Address - Zip Code:37148-9071
Practice Address - Country:US
Practice Address - Phone:615-323-9425
Practice Address - Fax:615-745-5423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-08
Last Update Date:2013-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNACL0000000372310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility