=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568181501
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MERIDIAN LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/23/2022
-----------------------------------------------------
Last Update Date | 12/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 33 BASSETT LN STE 110
-----------------------------------------------------
City | HYANNIS
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02601-3813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-237-0140
-----------------------------------------------------
Fax | 774-237-0420
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6 ROBERT RD
-----------------------------------------------------
City | HARWICH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02645-3332
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-237-0140
-----------------------------------------------------
Fax | 774-237-0420
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/OPERATOR
-----------------------------------------------------
Name | MS. NICOLE DAREEN HUNT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 508-353-9708
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------