MEDICARE: MERIDIANA HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1538764816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERIDIANA HEALTH LLC

Provider Business Mailing Address
First Line	:	8303 SOUTHWEST FWY STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1605
Country	:	US
Telephone Number	:	346-816-7683
Fax Number	:	346-816-7691

Provider Business Practice Location Address
First Line	:	8303 SOUTHWEST FWY STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1605
Country	:	US
Telephone Number	:	468-167-6833
Fax Number	:	346-816-7691

Authorized Official
Title or Position	:	OWNER
Name	:	JOHNSON DUQUE
Credential	:
Telephone Number	:	917-841-3542

Provider Enumeration Date	:	12/03/2020
Last Update Date	:	05/22/2026

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Directions to “MERIDIANA HEALTH LLC ” Practice Location

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