Provider Demographics
NPI:1851743751
Name:MERIDIAN HEALTH SERVICES
Entity Type:Organization
Organization Name:MERIDIAN HEALTH SERVICES
Other - Org Name:MERIDIAN HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BENECIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-228-6339
Mailing Address - Street 1:307 S JUPITER RD STE 110
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-3051
Mailing Address - Country:US
Mailing Address - Phone:214-491-1777
Mailing Address - Fax:469-453-3338
Practice Address - Street 1:307 S JUPITER RD STE 110
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-3051
Practice Address - Country:US
Practice Address - Phone:214-491-1777
Practice Address - Fax:469-453-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion