Meridian Behavioral Healthcare Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

MERIDIAN BEHAVIORAL HEALTHCARE INC.

Practice address

518 NE Taylor Ave
Lake City, FL 32055-2909

Phone

(386) 288-3725

NPI assigned

May 20, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Veneka UnderwoodNPI 1730591058

Title

Certified Nursing Assistant

Phone

(386) 288-3725

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veneka Underwood

  • Nurse's Aide
  • Lake City, FL
  • NPI 1730591058
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1083026470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 NE TAYLOR AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320552909",
            "telephone_number": "386-288-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 NE TAYLOR AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320552909",
            "telephone_number": "386-288-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN BEHAVIORAL HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "VENEKA",
        "authorized_official_title_or_position": "CERTIFIED NURSING ASSISTANT",
        "authorized_official_telephone_number": "386-288-3725"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28465403",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Elbo Mercurio, A.R.N.P.
• Mercy Home Assisted Living Facility LLC
• Mercy Medical Urgent Care Center
• Meridan Behavioral Healthcare
• Meridian Behavioral Healthcare
• Meridian Behavioral Healthcare, Inc of Lake City
• Meridian Behavioral Healthcare, Inc.
• Meridian Behavioral Healthcare, Inc. of Lake City
• Meridian Behaviral Healthcare
• Meridian Primary Care Clinic

• Preferred Provider Organization in Lake City, FL
• Providers in Lake City, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.