MEDICARE: MERIDIAN HOMES

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	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1578427654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERIDIAN HOMES

Provider Business Mailing Address
First Line	:	9200 SCOTTS BLUFF LN
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-9255
Country	:	US
Telephone Number	:	862-205-3327
Fax Number	:

Provider Business Practice Location Address
First Line	:	4219 CHAMBERLAYNE AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-5039
Country	:	US
Telephone Number	:	862-205-3327
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MR. OGEMDI C. MAKA
Credential	:
Telephone Number	:	862-205-3327

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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