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Athena Meadowbrook, LLC

Athena Meadowbrook, LLC is a healthcare organization registered as Nursing Facility/Intermediate Care Facility in Granby, CT, holding Type 2 (organization) NPI 1972723963 since 2007. The authorized official on file is Jean Rosa, Director of Ar.

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NPI 1972723963
Entity type Organization (Type 2)
Legal business name Athena Meadowbrook, LLC
Other name <Unavail>
Practice address 350 SALMON BROOK ST, Granby, CT, 06035
Phone 8606539888
Fax 8606538938
Enumeration date 2007-05-01
Last updated in NPPES 2013-07-16

Authorized official

Name Jean Rosa
Title Director of Ar
Phone 8607513900

Taxonomy & classification

Taxonomy code Specialty Primary License State
313M00000X Nursing Facility/Intermediate Care Facility Primary 2080C CT

Other identifiers

Identifier Type State Issuer
0095225 Medicaid CT
Copy-ready billing details
Provider: Athena Meadowbrook, LLC
NPI: 1972723963
Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility)
Address: 350 SALMON BROOK ST, Granby, CT, 06035

Providers at this address

NPI Name Type Specialty Location
1326007675 Tammy Haack Individual Physical Therapist Granby, CT
1770547473 Athena Meadowbrook, LLC Organization Skilled Nursing Facility Granby, CT
1437436169 Meadowbrook Center Inc Organization Physical Therapy Clinic/Center Granby, CT
1134562812 Athena Meadowbrook, LLC Organization Skilled Nursing Facility Granby, CT
1881551851 Bh Meadowbrook LLC Organization Skilled Nursing Facility Granby, CT

Verify this record

Cross-check NPI 1972723963 against the authoritative CMS record: view Athena Meadowbrook, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Athena Meadowbrook, LLC?
NPPES lists Jean Rosa (Director of Ar) as the authorized official for this organization.
What is the NPI number for Athena Meadowbrook, LLC?
The NPI for Athena Meadowbrook, LLC is 1972723963, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-07-16.