Provider Demographics
NPI:1275580409
Name:MERIDIAN HEALTH, INC.
Entity Type:Organization
Organization Name:MERIDIAN HEALTH, INC.
Other - Org Name:HERITAGE 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 1:7232 GERMAN HILL RD
Practice Address - Street 2:
Practice Address - City:DUNDALK
Practice Address - State:MD
Practice Address - Zip Code:21222-1260
Practice Address - Country:US
Practice Address - Phone:410-282-6310
Practice Address - Fax:410-285-8142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03-058314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
241378OtherUNITED - MAMSI
MJ2OtherCAREFIRST - IND/PPO
0181369OtherAETNA-HMO
02AMOtherCAREFIRST - PROV/INQ#
08925OtherAMERIGROUP
MD037537300Medicaid
71-00148OtherUNITED - EVERCARE
MJ2OtherCAREFIRST BLUECHOICE
MJ2OtherCAREFIRST BLUECHOICE
=========OtherAETNA-NONHMO
MD037537300Medicaid
=========OtherCAREFIRST - TIN
=========OtherCIGNA - MID-ATLANTIC
=========OtherJOHNS HOPKINS
08925OtherAMERIGROUP
=========OtherNATIONAL CAPITAL PPO
=========OtherHELIXCARE (MEDSTAR)
MJ2OtherCAREFIRST - IND/PPO