Provider Demographics
NPI:1528013802
Name:MERIDIAN HEALTHCARE, INC
Entity Type:Organization
Organization Name:MERIDIAN HEALTHCARE, INC
Other - Org Name:CHESAPEAKE WOODS 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 1:525 GLENBURN AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1414
Practice Address - Country:US
Practice Address - Phone:410-221-1400
Practice Address - Fax:410-476-4657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09-010314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
029TOtherCAREFIRST-PROV/INQ #
MD161302200Medicaid
MJ9OtherCAREFIRST-BLUECHOICE
0002478000OtherAMERIHEALTH-MANAGED CARE
MJ9OtherCAREFIRST - IND/PPO
1039150OtherAETNA-HMO
0002478000OtherAMERIHEALTH-TRADITIONAL
08826OtherAMERIGROUP
249636OtherUNITED-MAMSI
0002478000OtherAMERIHEALTH-MANAGED CARE
=========OtherHNFS-TRICARE
=========OtherJOHN HOPKINS
=========OtherHELIXCARE (MEDSTAR)
MJ9OtherCAREFIRST - IND/PPO
=========OtherAETNA-NONHMO
=========OtherINFOMED
029TOtherCAREFIRST-PROV/INQ #
249636OtherUNITED-MAMSI