MEDICARE: MERIDIAN CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1073508024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERIDIAN CARE

Provider Business Mailing Address
First Line	:	9894 BISSONNET ST
Second Line	:	SUITE 415
City	:	HOUSTON
State	:	TX
Zip	:	77036-8239
Country	:	US
Telephone Number	:	713-979-9040
Fax Number	:	713-995-8171

Provider Business Practice Location Address
First Line	:	9894 BISSONNET ST
Second Line	:	SUITE 415
City	:	HOUSTON
State	:	TX
Zip	:	77036-8239
Country	:	US
Telephone Number	:	713-979-9040
Fax Number	:	713-995-8171

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. LINER O ANEKWE
Credential	:
Telephone Number	:	713-979-9040

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	08/22/2020

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Directions to “MERIDIAN CARE ” Practice Location

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