Meadowbrook Manor
Custodial Care Facility, Adult Care Home in Hannibal, NY. Organization (NPI-2).
NPI number1972963643
StatusActive
Last updated in NPPESFeb 24, 2016
Details
- NPI
- 1972963643
- Entity type
- Organization (NPI-2)
- Legal business name
- Meadowbrook Manor
- Organization subpart
- No
- Enumeration date
- Feb 24, 2016
- Last updated
- Feb 24, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Practice location
31 Oswego StHannibal, NY 13074-2115
Phone 315-564-5555 · Fax 315-564-5555
Mailing address
31 Oswego StHannibal, NY 13074-2115
Phone 315-564-5555 · Fax 315-564-5033
Authorized official
Bien J Concepcion
President
2245200320
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