Provider Demographics
NPI:1043256514
Name:MERIDIAN HEALTHCARE, INC.
Entity Type:Organization
Organization Name:MERIDIAN HEALTHCARE, INC.
Other - Org Name:VOORHEES 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:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:3001 E EVESHAM RD
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9547
Practice Address - Country:US
Practice Address - Phone:856-751-1600
Practice Address - Fax:856-751-1548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ060414314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
0005670000OtherAMERIHEALTH
126OtherELDER HEALTH
212042OtherUS FAMILY HEALTH PLAN
0005670000OtherIBC
NJ04160Medicaid
315219OtherHORIZION - SNF
4469909OtherUNISYS #
526133OtherAETNA-HMO
000853OtherHORIZION - NJ
IY0240OtherHEALTHNET OF PA
212042OtherUS FAMILY HEALTH PLAN
4469909OtherUNISYS #
=========OtherCIGNA-NJ
=========OtherHCPC
=========OtherCONSUMER HEALTH NETWORK