Meridian Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MERIDIAN HEALTHCARE LLC

Practice address

1351 W Pine Ave
Meridian, ID 83642-2010

Phone

(208) 888-7049

NPI assigned

Jul 18, 2018

Last updated

Sep 14, 2022By 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

Soon Burnam

Title

Treasurer

Phone

(208) 888-7049

Specialties & licenses 1

Addresses

Tax ID family

Creekside Transitional Care and Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Meridian Healthcare LLC

  dba Creekside Transitional Care and Rehabilitation

  • Skilled Nursing Facility
  • Meridian, ID
  • NPI 1932685583
  NPD tax ID

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1699251058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 W PINE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422010",
            "telephone_number": "208-888-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 W PINE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422010",
            "telephone_number": "208-888-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "208-888-7049"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Counseling Center (Meridian Counseling Center and Aundrea Peaslee)
• Meridian Dental, PLLC
• Meridian Dermatology PLLC
• Meridian Developmental Center, Inc.
• Meridian Developmental Services LLC
• Meridian Healthcare LLC (Creekside Transitional Care and Rehabilitation)
• Meridian Hearing AIDS LLC (Leslie Milliken)
• Meridian Lighthouse Counseling
• Meridian Marriage and Family Therapy, LLC
• Meridian Neuropsychology PLLC

• Assisted Living Facility in Meridian, ID
• Providers in Meridian, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.