MERIDIAN HEALTHCARE, INC (NPI# 1972548360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972548360 |
| Entity Type | Organization |
| Organization Name | MERIDIAN HEALTHCARE, INC |
| Other Organization Name | SPA CREEK CENTER |
| Practice Address |
35 Milkshake Ln Annapolis MD 21403-1507 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 4102695100 |
| Practice Fax Number | 4102695453 |
| Mailing Telephone | 6109254436 |
| Mailing Fax Number | 6109254351 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | JANE DROPESKEY (CORPORATE MANAGER) |
| Authorized Official Telephone | 6109254231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 02-026 | MD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAREFIRST - PROV/INQ # | 2DX | 01 | |
| AMERIGROUP | 09018 | 01 | |
| UNITED HEALTHCARE | 240552 | 01 | |
| UNITED - EVERCARE | 71-00208 | 01 | |
| CAREFIRST - BLUECHOICE | HI6 | 01 | |
| MD | 020367000 | 05 | |
| AETNA-HMO | 0555482 | 01 | |
| CAREFIRST - IND-PPO | HI6 | 01 |
| Other Name | Type Code |
|---|---|
| Spa Creek Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629013982 | Meridian Healthcare, Inc | Skilled Nursing Facility | 9101 2nd Ave, Silver Spring, MD 20910-2152 | 2006-06-19 |
| 1457393191 | Meridian Healthcare, Inc | Skilled Nursing Facility | 1 Magnolia Dr, La Plata, MD 20646-9357 | 2006-06-10 |
| 1528013802 | Meridian Healthcare, Inc | Skilled Nursing Facility | 525 Glenburn Ave, Cambridge, MD 21613-1414 | 2006-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MERIDIAN HEALTHCARE, INC. | 101 East State Street, Kennett Square, PA 19348 |
| Vermont Business Registrations | MERIDIAN HEALTHCARE, INC. | 101 E. State Street, Kennett Square, PA 19348 |
| Street Address |
35 MILKSHAKE LN |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21403-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053355479 | Kristyn L Lyons | Nurse Practitioner | 35 Milkshake Ln, Annapolis, MD 21403-1507 | 2006-06-15 |
| 1407317274 | Kristen Beckman | Occupational Therapist | 35 Milkshake Ln, Annapolis, MD 21403-1507 | 2019-03-26 |
| 1396236014 | Shelby Alexis Bentley | Student in an Organized Health Care Education/Training Program | 35 Milkshake Ln, Annapolis, MD 21403-1507 | 2018-05-29 |
| 1518473248 | Melissa Victoria Bateman | Physical Therapy Assistant | 35 Milkshake Ln, Annapolis, MD 21403-1507 | 2017-12-18 |
| 1427568377 | Nicole Milliken | Occupational Therapy Assistant | 35 Milkshake Ln, Annapolis, MD 21403-1507 | 2017-10-05 |
| 1083133557 | Sara Marie Rink | Physical Therapy Assistant | 35 Milkshake Ln, Annapolis, MD 21403-1507 | 2017-09-15 |
| 1851842967 | Erika Garrett | Occupational Therapy Assistant | 35 Milkshake Ln, Annapolis, MD 21403-1507 | 2016-10-24 |
| 1346793478 | Raquel Maria Rogers | Physical Therapy Assistant | 35 Milkshake Ln, Annapolis, MD 21403-1507 | 2016-07-25 |
| 1710330469 | Amanda Lyn Barcenas | Physical Therapy Assistant | 35 Milkshake Ln, Annapolis, MD 21403-1507 | 2016-07-18 |
| 1043664493 | 35 Milkshake Lane Operations LLC | Occupational Therapist | 35 Milkshake Ln, Annapolis, MD 21403-1507 | 2016-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053814384 | Medequip Maufacturing. Inc. | Durable Medical Equipment & Medical Supplies | 301 Fourth Street, Annapolis, MD 21403 | 2018-03-13 |
| 1053839654 | Brittney Edwards | Pharmacist | 975 Bay Ridge Road Bridge Shopping Center, Annapolis, MD 21403 | 2017-09-03 |
| 1932585684 | Michael Furno | Physical Therapy Assistant | 35 Milkshake Lane, Annapolis, MD 21403 | 2015-08-05 |
| 1174948863 | Grace Ann Aumiller | Occupational Therapy Assistant | 180 Admiral Cochrane Drive, Annapolis, MD 21403 | 2014-03-04 |
| 1356787550 | Annie K Johnson | Family Medicine | 1419 Forest Dr. Ste 100, Annapolis, MD 21403 | 2013-05-14 |
| 1750647772 | Pauline A Gianoplus | Social Worker | 786 E Fairview Ave, E, Annapolis, MD 21403 | 2012-04-03 |
| 1962787366 | Katherine Sarah Billington | Nurse Anesthetist, Certified Registered | 534 Burnside Street, Annapolis, MD 21403 | 2011-10-17 |
| 1891979076 | Debra Joy Krausman | Counselor | 1107 Lake Heron Drive, Ta, Annapolis, MD 21403 | 2007-12-24 |
| 1770638785 | Mary Lee Zetter | Social Worker | 610 Harbor Drive, Annapolis, MD 21403 | 2007-01-23 |
| 1154478501 | Debra R Taylor | Occupational Therapist | 1419 Forest Drive, Suite 210, Annapolis, MD 21403 | 2007-01-05 |
| Find all providers in zip 21403 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073857637 | Sundance Services Corp | Skilled Nursing Facility | 912 Schooner Cir, Annapolis, MD 21401-6846 | 2012-11-20 |
| 1750402343 | Ssc Annapolis Operating Company LLC | Skilled Nursing Facility | 2700 S Haven Rd, Annapolis, MD 21401-7122 | 2007-04-02 |
| 1356423156 | Baywoods Cooperative Housing Corporation | Skilled Nursing Facility | 7101 Bay Front Dr, Annapolis, MD 21403-3622 | 2006-10-20 |
| 1407847247 | Annapolis Life Care, Inc. | Skilled Nursing Facility | 4000 River Crescent Dr, Annapolis, MD 21401-7721 | 2005-11-01 |
| 1265439004 | New Annapolis Nursing LLC | Skilled Nursing Facility | 900 Van Buren St, Annapolis, MD 21403-2124 | 2005-07-07 |
| 1932620440 | Wye Oak Healthcare of Annapolis, LLC | Skilled Nursing Facility | 900 Van Buren St, Annapolis, MD 21403-2124 | 2017-07-06 |
| 1295108413 | Heritage Harbour Health and Rehab | Skilled Nursing Facility | 2700 Southaven Rd, Annapolis, MD 21401-7122 | 2015-11-10 |
| 1568835783 | Sava Senior Care | Skilled Nursing Facility | 2700 Southaven Rd, Annapolis, MD 21401-7122 | 2015-11-10 |
| 1508037862 | Genesis Rehabilitation Services | Skilled Nursing Facility | 35 Milkshake Ln, Annapolis, MD 21403-1507 | 2008-03-14 |
| 1083896559 | 35 Milkshake Lane Operations LLC | Skilled Nursing Facility | 35 Milkshake Ln, Annapolis, MD 21403-1507 | 2007-11-27 |
| Find all providers in ANNAPOLIS | ||||
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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.