1. Home
  2. Directory
  3. Mississippi
  4. Meridian
  5. Assisted Living Facility
  6. NPI Profile

MERIDIAN LIVING, LLC
NPI 1104574300
Assisted Living Facility in Meridian, MS

Active since March 16, 2022CLIA 25D2194078 · Waiver
538 BONITA LAKES DR, MERIDIAN, MS 39301(601) 512-0512(601) 693-3350 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Meridian Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERIDIAN LIVING, LLC (NPI 1104574300) is a healthcare organization registered as an assisted living facility in Meridian, Mississippi and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through September 27, 2026 and lists Robert Anderson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104574300
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMERIDIAN LIVING, LLC
Location Address538 BONITA LAKES DRMeridian, MS 39301-6992
Mailing Address538 Bonita Lakes DrMeridian, MS 39301-6992 · (601) 512-0512 · Fax (601) 693-3350
Phone(601) 512-0512
Fax(601) 693-3350
Organization SubpartNo
Authorized OfficialRobert AndersonCfo · (601) 918-7733
Enumeration DateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1104574300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

538 BONITA LAKES DR, Meridian, MS 39301
Open in Google Maps ↗

Other Identifiers 1

Other1242MS · Department Of Health

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2194078

Meridian Living · Meridian, MS
Active · expires Sep 27, 2026
CLIA Number25D2194078
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorCandace S. Page
Laboratory Phone(601) 512-0512
Laboratory LocationMeridian Living538 Bonita Lakes Dr, Meridian, MS 39301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meridian Living, LLC's NPI number?

The NPI number for Meridian Living, LLC is 1104574300. It was assigned to this organization in the NPPES registry on March 16, 2022.

Where is Meridian Living, LLC located?

Meridian Living, LLC is located at 538 Bonita Lakes Dr, Meridian, MS 39301. The listed phone number is (601) 512-0512.

What is Meridian Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Meridian Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2194078) is associated with this NPI, valid through September 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Meridian Living, LLC was last updated on March 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.