MERIDIAN PARK VILLAGE LIMITED PARTNERSHIP (NPI# 1114487154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114487154 |
| Entity Type | Organization |
| Organization Name | MERIDIAN PARK VILLAGE LIMITED PARTNERSHIP |
| Practice Address |
2792 Donnelly Dr Lantana FL 33462-6431 |
| Mailing Address |
71 S Wacker Dr Ste 900 Chicago IL 60606-4610 |
| Practice Telephone | 5619664600 |
| Mailing Telephone | 3128038800 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | TARA COPE (SVP & GENERAL COUNSEL) |
| Authorized Official Telephone | 3128038555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Vi at Lakeside Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423234 | Meridian Park Village Limited Partnership | Assisted Living Facility | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2006-03-31 |
| Street Address |
2792 DONNELLY DR |
| City | LANTANA |
| State | FL |
| Zip Code | 33462-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423234 | Meridian Park Village Limited Partnership | Assisted Living Facility | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2006-03-31 |
| 1407158637 | Senior Health Care Services, Inc. | Home Health | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2010-11-19 |
| 1275846107 | Haley D Bayne | Physical Therapy Assistant | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2010-07-20 |
| 1548591217 | Mike Moise | Physical Therapy Assistant | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2010-01-20 |
| 1982935797 | Mark Warren Thomas | Occupational Therapy Assistant | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2010-01-18 |
| 1467782698 | Craig C Weston | Occupational Therapist | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2010-01-11 |
| 1124357017 | Jill A Freedline | Physical Therapist | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2009-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679063358 | A Paradise Home Alf IIi LLC | Assisted Living Facility | 733 S 11th St, Lantana, FL 33462-4303 | 2018-05-17 |
| 1740664069 | Lcv Home Care Professionals | Assisted Living Facility | 808 S Broadway, Lantana, FL 33462-4400 | 2015-07-16 |
| 1609214790 | Pleasant Retirement Home,inc | Assisted Living Facility | 7512 Washington Ave, Lantana, FL 33462-5312 | 2013-06-11 |
| 1821330986 | Anguilla Cay Senior Living Inc | Assisted Living Facility | 1021 Ridge Rd, Lantana, FL 33462-1446 | 2013-03-26 |
| 1871897652 | Atria Senior Living Group, Inc | Assisted Living Facility | 3061 Donnelly Dr, Lantana, FL 33462-6422 | 2011-01-07 |
| 1871763292 | Pleasant Retirement Home,inc | Assisted Living Facility | 7512 Washignton Ave, Lantana, FL 33462 | 2008-03-03 |
| 1568423234 | Meridian Park Village Limited Partnership | Assisted Living Facility | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2006-03-31 |
| 1154944775 | A Gentle Hand Residential Care | Assisted Living Facility | 808 S Broadway, Lantana, FL 33462-4400 | 2020-05-19 |
| 1104471564 | Cherry Oak Palm Beach County, LLC | Assisted Living Facility | 6026 Old Congress Rd, Lantana, FL 33462-2430 | 2019-08-02 |
| 1134603129 | Todd Chancellor | Assisted Living Facility | 808 S Broadway, Lantana, FL 33462-4400 | 2018-09-17 |
| Find all providers in LANTANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.