MERIDIAN HEALTHCARE, INC. (NPI# 1932685583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932685583 |
| Entity Type | Organization |
| Organization Name | MERIDIAN HEALTHCARE, INC. |
| Practice Address |
1351 W Pine Ave Meridian ID 83642-2010 |
| Practice Telephone | 2088887049 |
| Mailing Telephone | 2088887049 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Authorized Official Name | MS. SOON BURNAM (TREASURER) |
| Authorized Official Telephone | 9495401249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851337323 | Meridian Healthcare, Inc. | Skilled Nursing Facility | 1515 Lamberts Mill Rd, Westfield, NJ 07090-4763 | 2006-06-21 |
| 1649212069 | Meridian Healthcare, Inc. | Skilled Nursing Facility | 3227 Bel Pre Rd, Silver Spring, MD 20906-2423 | 2006-06-11 |
| 1699251058 | Meridian Healthcare, Inc. | Assisted Living Facility | 1351 W Pine Ave, Meridian, ID 83642-2010 | 2018-07-18 |
| 1043256514 | Meridian Healthcare, Inc. | Skilled Nursing Facility | 3001 E Evesham Rd, Voorhees, NJ 08043-9547 | 2006-06-21 |
| 1306887716 | Meridian Healthcare, Inc. | Skilled Nursing Facility | 7700 York Rd, Towson, MD 21204-7513 | 2006-06-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MERIDIAN HEALTHCARE, INC. | 101 East State Street, Kennett Square, PA 19348 |
| Vermont Business Registrations | MERIDIAN HEALTHCARE, INC. | 101 E. State Street, Kennett Square, PA 19348 |
| Street Address |
1351 W PINE AVE |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639126493 | Sunbridge Healthcare LLC | Assisted Living Facility | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2006-05-27 |
| 1245704931 | Leslie Leet LLC | Social Worker | 1351 W Pine Ave, Meridian, ID 83642-2010 | 2019-01-15 |
| 1699251058 | Meridian Healthcare, Inc. | Assisted Living Facility | 1351 W Pine Ave, Meridian, ID 83642-2010 | 2018-07-18 |
| 1366943664 | Alyssa Smith | Technician, Other | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2018-02-22 |
| 1841642857 | Kelly Elizabeth Sills | Occupational Therapist | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2016-07-01 |
| 1235594607 | Eric Reed Mcevoy | Physical Therapist | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2015-12-29 |
| 1639541329 | Casey Michel | Physical Therapist | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2015-10-21 |
| 1427425453 | Jace Eyre | Physical Therapy Assistant | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2015-08-25 |
| 1558754481 | Tony Lane Grant | Physical Therapy Assistant | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2015-03-17 |
| 1073905055 | Rebecca Baxter | Occupational Therapy Assistant | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2015-02-27 |
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| 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 | 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 |
|---|---|---|---|---|
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
| 1568591428 | Meridian Manor | Skilled Nursing Facility | 1015 N Main, Meridian, TX 76665-4632 | 2007-03-05 |
| 1588758643 | Beverly Enterprises - Mississippi Inc | Skilled Nursing Facility | 4728 Hwy 39 North, Meridian, MS 39301 | 2006-10-03 |
| 1265470223 | Riley Healthcare LLC | Skilled Nursing Facility | 3716 Highway 39 N, Meridian, MS 39301-1013 | 2006-06-03 |
| 1265416986 | Poplar Springs Nursing Center LLC | Skilled Nursing Facility | 6615 Poplar Springs Loop, Meridian, MS 39305-9250 | 2005-12-06 |
| 1639169329 | Clc of Meridian, LLC | Skilled Nursing Facility | 517 33rd St, Meridian, MS 39305-3944 | 2005-10-25 |
| 1093702144 | Queen City Nursing Center Inc | Skilled Nursing Facility | 1201 28th Ave, Meridian, MS 39301-3810 | 2005-10-04 |
| 1982257853 | Trend Health & Rehab of Meridian LLC | Skilled Nursing Facility | 517 33rd St, Meridian, MS 39305-3944 | 2019-07-19 |
| 1639624620 | Diversicare of Meridian, LLC | Skilled Nursing Facility | 4728 Highway 39 N, Meridian, MS 39301-1015 | 2016-08-18 |
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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.