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MERIDIAN BEHAVIORAL NPI 1992189013


NPI Information

NPI: 1992189013
Provider Name: MERIDIAN BEHAVIORAL
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization

CLIA Number: 10D0272126

Address:
4300 SW 13TH ST
GAINESVILLE, FL
ZIP 32608
Phone: (352) 374-5600
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MERIDIAN BEHAVIORAL is a custodial care facility in Gainesville, FL. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. MERIDIAN BEHAVIORAL NPI is 1992189013. The provider is registered as an organization entity type.

The provider's business location address is:

4300 SW 13TH ST
GAINESVILLE, FL
ZIP 32608-006
Phone: (352) 374-5600

The provider's authorized official is Lacey Henderson .
The authorized official title is Lpn and has the following contact phone number (386) 292-1097.

The CLIA number assigned to this NPI record is 10D0272126 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2015 and was last updated on 7/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311Z00000XCustodial Care FacilityPN 5213898FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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