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MEREDITH LANE FAMILY HOME
NPI 1629467972
Intermediate Care Facility, Intellectual Disabilities in Painesville, OH

Active since January 09, 2015
12345 MEREDITH LN, PAINESVILLE, OH 44077(440) 428-9082 Get Directions Write a Review

NPPES record last updated: January 9, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Meredith Lane Family Home NPPES

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

MEREDITH LANE FAMILY HOME (NPI 1629467972) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Painesville, Ohio and active in the NPI registry since January 2015. The organization lists Mary Jo Jaskela, Controller, as its authorized official.

NPPES Registry Identity

NPI1629467972
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePHOENIX RESIDENTIAL CENTERS, INC.
Location Address12345 MEREDITH LNPainesville, OH 44077-9246
Mailing Address1954 Hubbard RdMadison, OH 44057-2172 · (440) 428-9082
Phone(440) 428-9082
Organization SubpartNo
Authorized OfficialMary Jo JaskelaController · (440) 428-9082
Enumeration DateJanuary 9, 2015
✔ NPI 1629467972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
12345 MEREDITH LN, Painesville, OH 44077
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Other Names 1

Doing Business AsMeredith Lane Family Home

Other Providers at the Same Location NPPES

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

VIAQUEST HEALTHCARE CENTRAL
Intermediate Care Facility, Intellectual Disabilities
12345 MEREDITH LN
PAINESVILLE, OH 44077
Lake County (614) 339-0814

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 Phoenix Residential Centers, Inc.'s NPI number?

The NPI number for Phoenix Residential Centers, Inc. is 1629467972. It was assigned to this organization in the NPPES registry on January 9, 2015. The provider is doing business as Meredith Lane Family Home.

Where is Phoenix Residential Centers, Inc. located?

Phoenix Residential Centers, Inc. is located at 12345 Meredith Ln, Painesville, OH 44077. The listed phone number is (440) 428-9082.

What is Phoenix Residential Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Residential Centers, Inc. was last updated on January 9, 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.