Provider Demographics
NPI:1699008052
Name:MERIDIAN CARE INC.
Entity Type:Organization
Organization Name:MERIDIAN CARE INC.
Other - Org Name:MERIDIAN HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CRIS
Authorized Official - Last Name:LANDINGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-793-9255
Mailing Address - Street 1:3900 NEWPARK MALL
Mailing Address - Street 2:SUITE 209
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-5243
Mailing Address - Country:US
Mailing Address - Phone:510-793-9255
Mailing Address - Fax:510-793-9253
Practice Address - Street 1:3900 NEWPARK MALL
Practice Address - Street 2:SUITE 209
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-5243
Practice Address - Country:US
Practice Address - Phone:510-793-9255
Practice Address - Fax:510-793-9253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health