Healthcare Provider Details

I. General information

NPI: 1821172461
Provider Name (Legal Business Name): MERITAN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 ADAMS AVE
MEMPHIS TN
38103-1913
US

IV. Provider business mailing address

345 ADAMS AVE
MEMPHIS TN
38103-1913
US

V. Phone/Fax

Practice location:
  • Phone: 901-766-0600
  • Fax: 901-766-0688
Mailing address:
  • Phone: 901-766-0600
  • Fax: 901-766-0688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number00000237
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number10103
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MELANIE A KELLER
Title or Position: PRESIDENT
Credential: RN, BSN, MHA
Phone: 901-766-0600