MEADOW RIDGE
NPI 1609250174
Custodial Care Facility - Adult Care Home in Willow Street, PA
- Organization
- Custodial Care Facility
- Adult Care Home
- CLIA Number: 39D2285673
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 07-16-2027
About MEADOW RIDGE
This page provides the complete NPI Profile along with additional information for Meadow Ridge, a provider established in Willow Street, Pennsylvania operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1609250174 assigned on July 2015. The practitioner's primary taxonomy code is 311ZA0620X with license number 322050 (PA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mrs. Lenore Hutchinson (Personal Care Administrator)
- NPI
- 1609250174 Verify this NPI
- Provider Name
- MEADOW RIDGE
- Entity Type
- Organization
- Location Address
- 900 WILLOW VALLEY LAKES DR WILLOW STREET, PA 17584
- Location Phone
- (717) 464-6816
- Location Fax
- (717) 490-8110
- Mailing Address
- 900 WILLOW VALLEY LAKES DR WILLOW STREET, PA 17584
- Mailing Phone
- (717) 464-6816
- Mailing Fax
- (717) 490-8110
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2015
- Last Update Date
- 07-15-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 322050
- License State
- PA
- Taxonomy Description
- A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2285673
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- July 17, 2025
- Certificate Expiration Date
- July 16, 2027
- Laboratory Director
- DR. THOMAS D. BRAIDE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Meadow Ridge to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WILLOW STREET, PA 17584
WILLOW STREET, PA 17584
WILLOW STREET, PA 17584
WILLOW STREET, PA 17584
WILLOW STREET, PA 17584
WILLOW STREET, PA 17584
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609250174, enumerated as an "organization" on July 15, 2015.
The provider is located at 900 WILLOW VALLEY LAKES DR WILLOW STREET, PA 17584 and the phone number is (717) 464-6816.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
