Meridian Village Association

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1957652 Issued in IL

Legal business name

MERIDIAN VILLAGE ASSOCIATION

Practice address

27 Auerbach Place
Glen Carbon, IL 62034

Phone

(618) 288-3700

NPI assigned

Feb 22, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Chadwick Sneed

Title

Sr Vice President of Finance

Phone

(314) 968-9313

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Meridian Village Care Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Lutheran Senior Services

  • Skilled Nursing Facility
  • Weldon Spring, MO
  • NPI 1720172869

  Member Of

  NPD member

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1922320795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 HANLEY INDUSTRIAL CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441910",
            "telephone_number": "314-968-9313",
            "fax_number": "314-968-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 AUERBACH PLACE",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "62034",
            "telephone_number": "618-288-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN VILLAGE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "CHADWICK",
        "authorized_official_title_or_position": "SR VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "314-968-9313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1957652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371415587001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Village Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meridian Village Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Reagan Meads
• Taylor Isabelle Meagher
• Natalie D Menossi, PA
• Merchant Collective Healthcare LLC
• Divya Merchant, PT, DPT
• Midwest Phyisician Associates LTD
• Amy Lynn Miller, LCSW
• Kristen Kay Miller
• Mackenzie Rose Miller
• Jesse Moore, DPT, MBA

• All providers in Glen Carbon, IL
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.