Active NPI
Meridian Living, LLC
- Assisted Living Facility
- Meridian, MS
National Provider Identifier
1104574300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MERIDIAN LIVING, LLC
- Practice address
- 538 Bonita Lakes Dr
Meridian, MS 39301-6992 - Phone
- (601) 512-0512
- Fax
- (601) 693-3350
- NPI assigned
- Mar 16, 2022
- Last updated
- Mar 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Anderson
- Title
- Cfo
- Phone
- (601) 918-7733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
538 Bonita Lakes Dr
Meridian, MS 39301-6992
Mailing address
538 Bonita Lakes Dr
Meridian, MS 39301-6992
Phone (601) 512-0512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1242 | Other | MS | DEPARTMENT OF HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | candace@themeridianliving.com | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2194078 | Meridian Living | Certificate of waiver | Sep 27, 2026 |
National Provider Directory
National Provider DirectoryLocations
538 Bonita Lakes Dr
Meridian, MS 39301
Phone (601) 512-0512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647388800000",
"number": "1104574300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 BONITA LAKES DR",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393016992",
"telephone_number": "601-512-0512",
"fax_number": "601-693-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 BONITA LAKES DR",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393016992",
"telephone_number": "601-512-0512",
"fax_number": "601-693-3350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "601-918-7733"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "1242",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "candace@themeridianliving.com",
"affiliation": "N",
"endpointDescription": "Executive Director",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "538 Bonita Lakes Dr",
"city": "Meridian",
"state": "MS",
"country_code": "US",
"postal_code": "393016992",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Meridian, MS
- Meridian Hma Inc (Riley Womens Health Center)
- Meridian Hma LLC (Riley Hospital)
- Meridian Hma LLC (Riley Physician Services)
- Meridian Hma LLC (Riley Hospital)
- Meridian Imaging, PA
- Meridian Long Term Care Pharmacy
- Meridian Meadows LLC
- Meridian Medical Associates, PA
- Meridian Medical Equipment
- Meridian OB/GYN, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.