Meadow Lake, LLC
NPI 1205572641ActiveOrganization· Skilled Nursing Facility· Tyler, TX
Skilled Nursing Facility in Tyler, Texas, registered in NPPES in May 2022. The authorized official on file is Nicholas Harshfield, Vice President & Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1205572641 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2022 |
| Last updated in NPPES | Jun 30, 2023 |
| Certified by provider | Jun 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
| Assisted Living Facility | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (TX) |
|---|
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