Provider Demographics
NPI:1952308462
Name:MEADOW WIND HEALTH CARE CENTER, INC.
Entity Type:Organization
Organization Name:MEADOW WIND HEALTH CARE CENTER, INC.
Other - Org Name:MEADOW WIND HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-833-2026
Mailing Address - Street 1:300 23RD ST NE
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-4988
Mailing Address - Country:US
Mailing Address - Phone:330-833-2026
Mailing Address - Fax:330-833-0320
Practice Address - Street 1:300 23RD ST NE
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-4988
Practice Address - Country:US
Practice Address - Phone:330-833-2026
Practice Address - Fax:330-833-0320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3535314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0580689Medicaid
OH0580689Medicaid
OH0580689Medicaid