Provider Demographics
NPI:1508906595
Name:MEADOWVIEW HOUSING, INC.
Entity Type:Organization
Organization Name:MEADOWVIEW HOUSING, INC.
Other - Org Name:MEADOWVIEW ASSISTED LIVING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-989-4848
Mailing Address - Street 1:PO BOX 2500
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-6970
Mailing Address - Country:US
Mailing Address - Phone:919-989-4848
Mailing Address - Fax:
Practice Address - Street 1:250 HIGHWAY 210 WEST
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-6970
Practice Address - Country:US
Practice Address - Phone:919-989-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEADOWVIEW HOUSING, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL051025310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7803933Medicaid