Provider Demographics
NPI:1215772124
Name:MERAKI LIVING CENTER
Entity type:Organization
Organization Name:MERAKI LIVING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIPPA
Authorized Official - Middle Name:ISIOMA
Authorized Official - Last Name:EHORO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP-FNP
Authorized Official - Phone:210-897-3276
Mailing Address - Street 1:11507 VIRIDIAN PL
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4646
Mailing Address - Country:US
Mailing Address - Phone:210-897-3276
Mailing Address - Fax:
Practice Address - Street 1:11507 VIRIDIAN PL
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4646
Practice Address - Country:US
Practice Address - Phone:210-897-3276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No251E00000XAgenciesHome Health