MEDICARE: MILFORD MEADOWS CARE CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1215891619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILFORD MEADOWS CARE CENTER LLC

Provider Business Mailing Address
First Line	:	610 224TH
Second Line	:
City	:	MILFORD
State	:	NE
Zip	:	68405-8475
Country	:	US
Telephone Number	:	402-761-3230
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 224TH
Second Line	:
City	:	MILFORD
State	:	NE
Zip	:	68405-8475
Country	:	US
Telephone Number	:	402-761-3230
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED SIGNATORY
Name	:	BRIAN GOPIN
Credential	:
Telephone Number	:	516-504-9797

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “MILFORD MEADOWS CARE CENTER LLC ” Practice Location

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