Meadow Manor, Inc

Skilled Nursing Facility · Taylorville, IL

Organization Active NPI

NPI number 1568614238

Practice location

800 McAdam Dr
Taylorville, IL 62568-9634
Phone
(217) 824-2277
Fax
(217) 287-7763

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NPI record

NPI
1568614238
Entity type
Organization (Type 2)
Enumeration date
October 14, 2008
Last updated
October 14, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 0011528 IL

Mailing address

2653 W Lawrence Ave Ste B
Springfield, IL 62704-1115
Phone
(217) 787-8530
Fax
(217) 787-9840

Authorized official

Name
Jerry W Jennings
Title
Controller
Phone
(217) 787-8530

About Meadow Manor, Inc

Meadow Manor, Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 800 McAdam Dr, Taylorville, IL 62568-9634. The NPI number 1568614238 was assigned on October 14, 2008 and the record was last updated on October 14, 2008.

Meadow Manor, Inc lists a license in the registry: #0011528 (IL) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Jerry W Jennings, Controller.

Frequently asked questions

What is the NPI number of Meadow Manor, Inc?

The NPI number is 1568614238.

What is the phone number of Meadow Manor, Inc?

The phone number listed for the practice location is (217) 824-2277.

Where is Meadow Manor, Inc located?

800 McAdam Dr, Taylorville, IL 62568-9634.

What is the taxonomy code for Meadow Manor, Inc?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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