Provider Demographics
NPI:1033150974
Name:MERIDIAN EDGEWOOD LP
Entity Type:Organization
Organization Name:MERIDIAN EDGEWOOD LP
Other - Org Name:HOMEWOOD CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4366
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:6000 BELLONA AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2922
Practice Address - Country:US
Practice Address - Phone:410-323-4223
Practice Address - Fax:410-323-6950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30-016314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
0181373OtherAETNA-HMO
MK3OtherCAREFIRST-BLUECHOICE
08926OtherAMERIGROUP
7100036OtherUNITED HEALTH CARE
02AFOtherCAREFIRST - PROV/INQ #
MD512377100Medicaid
71-00097OtherUNITED - EVERCARE
241379OtherUNITED - MAMSI
0181373OtherAETNA-HMO
02AFOtherCAREFIRST - PROV/INQ #
=========OtherHNFS-TRICARE
=========OtherCOVENTRY
=========OtherMARYLAND PHYSICIAN CARE
=========OtherHELIXCARE (MEDSTAR)
71-00097OtherUNITED - EVERCARE
MD512377100Medicaid
=========OtherAETNA-NONHMO
=========OtherJOHNS HOPKINS