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MEADOW RIDGE
NPI 1609250174
Custodial Care Facility - Adult Care Home in Willow Street, PA

Active since July 15, 2015CLIA 39D2285673 · Waiver
900 WILLOW VALLEY LAKES DR, WILLOW STREET, PA 17584(717) 464-6816(717) 490-8110 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Meadow Ridge NPPES

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

MEADOW RIDGE (NPI 1609250174) is a healthcare organization registered as an adult care home in Willow Street, Pennsylvania and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Lenore Hutchinson, Personal Care Administrator, as its authorized official.

NPPES Registry Identity

NPI1609250174
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameMEADOW RIDGE
Location Address900 WILLOW VALLEY LAKES DRWillow Street, PA 17584-9051
Mailing Address900 Willow Valley Lakes DrWillow Street, PA 17584-9051 · (717) 464-6816 · Fax (717) 490-8110
Phone(717) 464-6816
Fax(717) 490-8110
Organization SubpartNo
Authorized OfficialLenore HutchinsonPersonal Care Administrator · (717) 464-6816
Enumeration DateJuly 15, 2015
✔ NPI 1609250174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in PA · 322050
Definition
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.
900 WILLOW VALLEY LAKES DR, Willow Street, PA 17584
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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 39D2285673

Meadow Ridge At Willow Valley Communities · Willow Street, PA
Active · expires Jul 16, 2027
CLIA Number39D2285673
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorDr. Thomas D. Braide
Laboratory Phone(717) 490-8100
Laboratory LocationMeadow Ridge At Willow Valley Communities925 Willow Valley Lakes Drive, Willow Street, PA 17584
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE L TALBERT PT
Physical Therapist (Geriatrics)
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6397
KARA NOELLE PHONGXAYSANITH CCC-SLP
Speech-Language Pathologist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861
SARAH RUSH
Physical Therapist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861
HEATHER L WOLFE
Occupational Therapist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861
MRS. JENNIFER NICOLE KNIGHT DPT
Physical Therapist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861
JOSEPH DALE KURO MPT
Physical Therapist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861
EMILIANO PERALTA DURAN
Physical Therapist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861
ROBERT EDWIN MURPHY
Physical Therapist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861

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 Meadow Ridge's NPI number?

The NPI number for Meadow Ridge is 1609250174. It was assigned to this organization in the NPPES registry on July 15, 2015.

Where is Meadow Ridge located?

Meadow Ridge is located at 900 Willow Valley Lakes Dr, Willow Street, PA 17584. The listed phone number is (717) 464-6816.

What is Meadow Ridge's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Meadow Ridge hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2285673) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Meadow Ridge was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.