Provider Demographics
NPI:1205925633
Name:MERIDIAN HCS,LLC
Entity type:Organization
Organization Name:MERIDIAN HCS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:FROYLAN
Authorized Official - Last Name:CARBAJAL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-314-6270
Mailing Address - Street 1:6800 PARK TEN BLVD STE 133E
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-4229
Mailing Address - Country:US
Mailing Address - Phone:210-826-9393
Mailing Address - Fax:210-826-8333
Practice Address - Street 1:6800 PARK TEN BLVD STE 133E
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-4229
Practice Address - Country:US
Practice Address - Phone:210-826-9393
Practice Address - Fax:210-826-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009813251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457959Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER