MERIDIAN DEVELOPMENTAL CENTER, INC. (NPI# 1700906054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700906054 |
| Entity Type | Organization |
| Organization Name | MERIDIAN DEVELOPMENTAL CENTER, INC. |
| Practice Address |
40 W Franklin Rd Ste I Meridian ID 83642-2992 |
| Mailing Address |
Po Box 140289 Boise ID 83714-0289 |
| Practice Telephone | 2088886068 |
| Practice Fax Number | 2088886055 |
| Mailing Telephone | 2088537155 |
| Mailing Fax Number | 2088537156 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JERRY R. FOWLER (ADMINISTRATOR) |
| Authorized Official Telephone | 2088537155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
40 W FRANKLIN RD STE I |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-2992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396921581 | Meridian Developmental Services LLC | Day Training, Developmentally Disabled Services | 40 W Franklin Rd Ste I, Meridian, ID 83642-2992 | 2008-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574413 | New Beginnings Adult Daycare 2 LLC | Day Training, Developmentally Disabled Services | 235 69th Ave, Meridian, MS 39307-5671 | 2015-12-29 |
| 1003941717 | Inclusion, Inc. | Day Training, Developmentally Disabled Services | 880 E Franklin Rd, #303, Meridian, ID 83642-6099 | 2007-02-22 |
| 1760523062 | Gem State Developmental Center LLC | Day Training, Developmentally Disabled Services | 818 Nw 15th St, Meridian, ID 83642-3724 | 2007-02-09 |
| 1114063344 | A New Leaf, Inc. | Day Training, Developmentally Disabled Services | 2548 N Stokesberry Pl, Meridian, ID 83646-1144 | 2007-01-29 |
| 1447305453 | Concepts Inc. | Day Training, Developmentally Disabled Services | 1380 E Griffon St, Meridian, ID 83642-7473 | 2007-01-23 |
| 1245782358 | Family Counseling Services | Day Training, Developmentally Disabled Services | 1799 N Lakes Pl, Meridian, ID 83646-1833 | 2016-10-25 |
| 1396921581 | Meridian Developmental Services LLC | Day Training, Developmentally Disabled Services | 40 W Franklin Rd Ste I, Meridian, ID 83642-2992 | 2008-01-17 |
| 1427247543 | Fellowships Dda, LLC | Day Training, Developmentally Disabled Services | 1530 W State St, Suite F, Meridian, ID 83642-8503 | 2007-10-15 |
| 1063627263 | Applied Behavior Alternatives | Day Training, Developmentally Disabled Services | 1530 W State St, Ste F, Meridian, ID 83642-8503 | 2007-05-11 |
| 1114143161 | Family and Children's Therapy Services, Pa | Day Training, Developmentally Disabled Services | 2321 E Gala St, Suite #3, Meridian, ID 83642-4881 | 2007-04-18 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.