Provider Demographics
NPI:1851387807
Name:MEADOWS HCC, INC
Entity Type:Organization
Organization Name:MEADOWS HCC, INC
Other - Org Name:THE MEADOWS OF FORREST PARK
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-851-8400
Mailing Address - Street 1:11760 PELLSTON CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-4122
Mailing Address - Country:US
Mailing Address - Phone:513-851-8400
Mailing Address - Fax:513-674-3210
Practice Address - Street 1:11760 PELLSTON CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-4122
Practice Address - Country:US
Practice Address - Phone:513-851-8400
Practice Address - Fax:513-674-3210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2222N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4221290001OtherDME
OH2517244Medicaid
OH2517244Medicaid