MEDICARE: ARABELLA HEALTH & WELLNESS OF MERIDIAN OPCO LLC

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	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1477344711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARABELLA HEALTH & WELLNESS OF MERIDIAN OPCO LLC

Provider Business Mailing Address
First Line	:	1201 28TH AVE
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-3810
Country	:	US
Telephone Number	:	601-483-1467
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 28TH AVE
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-3810
Country	:	US
Telephone Number	:	601-483-1467
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED PERSON
Name	:	CHAIM N HERTZEL
Credential	:
Telephone Number	:	901-930-6124

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	05/15/2025

Similar Medicare Providers

1487517611 — MERIDIAN MEADOWS LLC
Practice Location Address:

1201 28TH AVE
MERIDIAN, MS
39301-3810

Practice Phone: 601-483-1467
Practice Fax:

1093702144 — QUEEN CITY NURSING CENTER INC
Practice Location Address:

1201 28TH AVE
MERIDIAN, MS
39301-3810

Practice Phone: 601-483-1467
Practice Fax: 601-483-1483

1932139441 — LAKEVIEW HEALTHCARE, INC
Practice Location Address:

1201 28TH AVE
MERIDIAN, MS
39301-3810

Practice Phone: 601-483-1467
Practice Fax: 601-483-1483

1265406987 — DR. ROBB R SHRADER M.D.
Practice Location Address:

3810 SPRINGHURST BLVD # 100 , MERIDIAN BUILDING
LOUISVILLE, KY
40241-6100

Practice Phone: 502-897-9881
Practice Fax: 502-897-9824

1003881459 — DR. CRAIG H DOUGLAS M.D.
Practice Location Address:

3810 SPRINGHURST BLVD # 100 , MERIDIAN BUILDING
LOUISVILLE, KY
40241-6100

Practice Phone: 502-897-9881
Practice Fax: 502-897-9824

1962280263 — KATRINA M. LANDRUM PMHNP
Practice Location Address:

1410 14TH ST STE A
MERIDIAN, MS
39301-4202

Practice Phone: 601-481-4821
Practice Fax: 601-640-4013

Directions to “ARABELLA HEALTH & WELLNESS OF MERIDIAN OPCO LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.