Meridian Healthcare of NC, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2987 Issued in NC

Legal business name

MERIDIAN HEALTHCARE OF NC, LLC

Practice address

5300 Atlantic Ave
Suite 106-O
Raleigh, NC 27609-1122

Phone

(919) 878-9997

Fax

(919) 878-9901

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Eliza Hawkins, LPN

Title

President

Phone

(919) 878-9997

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1568656510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ATLANTIC AVE",
            "address_2": "SUITE 106-O",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091122",
            "telephone_number": "919-878-9997",
            "fax_number": "919-878-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ATLANTIC AVE",
            "address_2": "SUITE 106-O",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091122",
            "telephone_number": "919-878-9997",
            "fax_number": "919-878-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HEALTHCARE OF NC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-878-9997",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418393",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601712",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith College Autism Program
• Keely Meredith
• Meghan Hardman Meredith, OTD, OTR/L
• Scott D. Meredith, M.D.
• Meridian Healthcare of NC LLC
• Paul Mermin, PH.D.
• Danielle Sharon Mernenko, CRNA
• Marjorie Eleanor Merod, M.D.
• Charles Bradley Merrill, PTA
• Emily Merrill, PHARM D

• Home Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.