Provider Demographics
NPI:1578676896
Name:MERIWEATHER HOME NURSING,INC
Entity Type:Organization
Organization Name:MERIWEATHER HOME NURSING,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:MERIWATHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:336-272-9696
Mailing Address - Street 1:200 E NORTHWOOD ST
Mailing Address - Street 2:SUITE 112
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1224
Mailing Address - Country:US
Mailing Address - Phone:336-272-9696
Mailing Address - Fax:336-272-9697
Practice Address - Street 1:897 PETERS CREEK PKWY
Practice Address - Street 2:SUITE104
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3858
Practice Address - Country:US
Practice Address - Phone:336-784-3243
Practice Address - Fax:336-784-3355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2108251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601060Medicaid