Healthcare Provider Details

I. General information

NPI: 1780511212
Provider Name (Legal Business Name): MERIDIAN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8888 KEYSTONE CROSSING SUITE STE 1300
INDIANAPOLIS IN
46240-4600
US

IV. Provider business mailing address

8888 KEYSTONE XING STE 1300
INDIANAPOLIS IN
46240-4600
US

V. Phone/Fax

Practice location:
  • Phone: 612-393-6863
  • Fax:
Mailing address:
  • Phone: 612-393-6863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: HANIF ALI ABDULLAHI
Title or Position: DIRECTOR
Credential:
Phone: 612-393-6863