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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MERIDIAN MANOR
NPI 1205743903
Assisted Living Facility in South Pasadena, CA

Active since August 26, 2026
1325 MERIDIAN AVE, SOUTH PASADENA, CA 91030(626) 488-8878(323) 222-5960 Get Directions Write a Review

NPPES record added: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Meridian Manor NPPES

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

MERIDIAN MANOR (NPI 1205743903) is a healthcare organization registered as an assisted living facility in South Pasadena, California and active in the NPI registry since August 2026. The organization maintains a secondary practice location in Pasadena and lists Ewa Nyczak, Administrator, as its authorized official.

NPPES Registry Identity

NPI1205743903
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMERIDIAN MANOR
Location Address1325 MERIDIAN AVESouth Pasadena, CA 91030-3723
Mailing Address1325 Meridian AveSouth Pasadena, CA 91030-3723 · (626) 488-8878 · Fax (323) 222-5960
Phone(626) 488-8878
Fax(323) 222-5960
Organization SubpartNo
Authorized OfficialEwa NyczakAdministrator · (626) 488-8878
Enumeration DateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
✔ NPI 1205743903 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.
1325 MERIDIAN AVE, South Pasadena, CA 91030
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Secondary Practice Location 1

Location 1779 S Pasadena AvePasadena, CA 91105-3019 · Phone (626) 488-8878 · Fax (323) 222-5960

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 Manor's NPI number?

The NPI number for Meridian Manor is 1205743903. It was assigned to this organization in the NPPES registry on August 26, 2026.

Where is Meridian Manor located?

Meridian Manor is located at 1325 Meridian Ave, South Pasadena, CA 91030. The listed phone number is (626) 488-8878.

What is Meridian Manor's specialty?

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

When was this NPI record last updated?

The NPPES record for Meridian Manor was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.