MERIDIAN HEALTH, INC (NPI# 1871535153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871535153 |
| Entity Type | Organization |
| Organization Name | MERIDIAN HEALTH, INC |
| Other Organization Name | LONG GREEN CENTER |
| Practice Address |
115 E Melrose Ave Baltimore MD 21212-2945 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 4104359073 |
| Practice Fax Number | 4104356824 |
| Mailing Telephone | 6109254436 |
| Mailing Fax Number | 6109254351 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | JANE DROPESKEY (CORPORATE MANAGER) |
| Authorized Official Telephone | 6109254231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 30-044 | MD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED - MAMSI | 240547 | 01 | |
| CAREFIRST BLUECHOICE | MJ4 | 01 | |
| AETNA-HMO | 0181371 | 01 | |
| CAREFIRST - IND/PPO | MJ4 | 01 | |
| CAREFIRST PROV/INQ # | 02B1 | 01 | |
| AMERIGROUP | 08950 | 01 | |
| MD | 302477600 | 05 | |
| UNITED - EVERCARE | 71-00099 | 01 |
| Other Name | Type Code |
|---|---|
| Long Green Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851347249 | Meridian Health, Inc | Skilled Nursing Facility | 205 Armstrong St, Centreville, MD 21617-2125 | 2006-05-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | MERIDIAN HEALTH, INC. | 4500 Dorr Street, Toledo, OH 43615 |
| Street Address |
115 E MELROSE AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356800981 | Taryn Olivia Adams-harlee | Nurse Practitioner | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2019-03-13 |
| 1265916498 | Hannah Marie Hiob | Occupational Therapy Assistant | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2018-09-24 |
| 1982198495 | Sharon Leeland | Physical Therapy Assistant | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2018-06-18 |
| 1881140077 | Purna Chhetri | Physical Therapy Assistant | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2016-08-29 |
| 1235583600 | 115 East Melrose Avenue Operations LLC | Occupational Therapist | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2016-04-21 |
| 1427420082 | Valencya Clark | Speech-Language Pathologist | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2015-10-22 |
| 1306244561 | Jason Edward Copeland | Physical Therapy Assistant | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2014-12-19 |
| 1033512355 | Aboubacar Babale | Physical Therapy Assistant | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2014-09-30 |
| 1295151991 | Renee Neuman | Physical Therapist | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2014-03-05 |
| 1770916819 | Bonnie May | Occupational Therapist | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578927489 | 1046 North Point, LLC | Skilled Nursing Facility | 1046 North Point Rd, Baltimore, MD 21224-3307 | 2016-04-06 |
| 1851770374 | Celia Alicia Akossiwa Essi Yovo | Skilled Nursing Facility | 4821 Belair Rd, Baltimore, MD 21206-5731 | 2015-05-29 |
| 1740555986 | Nissim S Rakhminov | Skilled Nursing Facility | 6716 Old Pimlico Rd, Baltimore, MD 21209-1612 | 2012-03-21 |
| 1962790717 | Blue Point Snf LLC | Skilled Nursing Facility | 2525 West Belvedere Ave, Baltimore, MD 21215 | 2011-07-14 |
| 1396044608 | Acc Green House Residences, Inc | Skilled Nursing Facility | 1010 E 33rd St, Baltimore, MD 21218-3636 | 2011-03-25 |
| 1811294226 | Mercy Villa Convent, Inc. | Skilled Nursing Facility | 6806 Bellona Ave, Baltimore, MD 21212-1219 | 2011-02-21 |
| 1972785004 | 1046 North Point, LLC | Skilled Nursing Facility | 1046 Old Northpoint Rd, Baltimore, MD 21224-3307 | 2007-11-30 |
| 1831310143 | The Wesley | Skilled Nursing Facility | 2211 W Rogers Ave, Baltimore, MD 21209-4424 | 2007-05-02 |
| 1760543367 | Aslc Opco Md I, LLC | Skilled Nursing Facility | 1300 Windlass Dr, Baltimore, MD 21220-4126 | 2006-12-13 |
| 1417045691 | Rock Glen Healthcare, Inc. | Skilled Nursing Facility | 10 N Rock Glen Rd, Baltimore, MD 21229-3250 | 2006-10-11 |
| Find all providers in BALTIMORE | ||||
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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.