Meadow Lake, LLC
NPI 1205572641 · Skilled Nursing Facility · Tyler, TX
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Meadow Lake, LLC is a Skilled Nursing Facility organization in Tyler, TX (NPI 1205572641).
Provider details
- NPI number
- 1205572641
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nicholas Harshfield, Vice President & Cfo(515) 288-5805
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Meadow Lake Health Center
Registry dates
- Enumerated
- 2022-05-09
- Last updated
- 2023-06-30
- Certified
- 2022-06-07
Frequently asked questions
- What is Meadow Lake, LLC's NPI number?
- Meadow Lake, LLC's National Provider Identifier (NPI) is 1205572641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Meadow Lake, LLC?
- Meadow Lake, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Meadow Lake, LLC located?
- Meadow Lake, LLC's practice location on file with NPPES is 16044 County Road 165, Tyler, TX 75703-7302.
- What is Meadow Lake, LLC's phone number?
- The practice phone number listed in the NPPES registry for Meadow Lake, LLC is (903) 526-5599.
- Does Meadow Lake, LLC accept Medicare?
- Meadow Lake, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Meadow Lake, LLC?
- The authorized official listed on Meadow Lake, LLC's NPPES record is Nicholas Harshfield, Vice President & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Meadow Lake, LLC's NPI active?
- Yes — Meadow Lake, LLC's NPI (1205572641) is active in the NPPES registry as of the last update on 2023-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.