Meeken Diversified Management

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MEEKEN DIVERSIFIED MANAGEMENT

Practice address

4849 Lydell Rd
Hyattsville, MD 20781-1116

Phone

(301) 449-2045

NPI assigned

Apr 23, 2012

Last updated

Apr 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Horace Wallace Kenner Sr.

Title

Chief Operation Officer

Phone

(240) 413-2245

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1467710814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 EDGEMERE DR",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207483939",
            "telephone_number": "240-413-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 LYDELL RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811116",
            "telephone_number": "301-449-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEEKEN DIVERSIFIED MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "KENNER",
        "authorized_official_first_name": "HORACE",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "CHIEF OPERATION OFFICER",
        "authorized_official_telephone_number": "240-413-2245",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.