Provider Demographics
NPI:1831542976
Name:JIHRA MEADOWS, LLC
Entity type:Organization
Organization Name:JIHRA MEADOWS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:XAZVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-619-7634
Mailing Address - Street 1:PO BOX 454
Mailing Address - Street 2:
Mailing Address - City:ABBOTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17301-0454
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7007 YORK RD
Practice Address - Street 2:
Practice Address - City:ABBOTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17301-9774
Practice Address - Country:US
Practice Address - Phone:717-619-7634
Practice Address - Fax:717-619-7636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA330750311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home