Provider Demographics
NPI:1457393191
Name:MERIDIAN HEALTHCARE, INC
Entity type:Organization
Organization Name:MERIDIAN HEALTHCARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:1 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-9357
Practice Address - Country:US
Practice Address - Phone:301-934-4001
Practice Address - Fax:301-934-6373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08-005314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
2049144OtherAETNA-HMO
02ACOtherCAREFIRST-PROV/INQ#
08945OtherAMERIGROUP
245103OtherUNITED-MAMSI
71-00253OtherUNITED - EVERCARE
MD086577000Medicaid
HI3OtherCAREFIRST BLUE CHOICE
7102059OtherUNITED - AMERICHOICE
HI3OtherCAREFIRST IND/PPO
=========OtherCAREFIRST-TIN
=========OtherHNFS-TRICARE
=========OtherNATIONAL CAPITAL PPO
HI3OtherCAREFIRST BLUE CHOICE
08945OtherAMERIGROUP
2049144OtherAETNA-HMO
7102059OtherUNITED - AMERICHOICE
=========OtherMARYLAND PHYSICIAN CARE
MD086577000Medicaid