Provider Demographics
NPI:1023036761
Name:MERIDIAN NURSING SERVICES
Entity Type:Organization
Organization Name:MERIDIAN NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LINER
Authorized Official - Middle Name:
Authorized Official - Last Name:ANEKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-979-9040
Mailing Address - Street 1:9894 BISSONNET ST.
Mailing Address - Street 2:SUITE 415
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8242
Mailing Address - Country:US
Mailing Address - Phone:713-979-9040
Mailing Address - Fax:713-995-8171
Practice Address - Street 1:9894 BISSONNET ST.
Practice Address - Street 2:SUITE 415
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8242
Practice Address - Country:US
Practice Address - Phone:713-979-9040
Practice Address - Fax:713-995-8171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX003332313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX60-00108Medicaid
TX10018304Medicaid