Provider Demographics
NPI:1043077670
Name:MISS JADA MEREDITH LLC
Entity type:Organization
Organization Name:MISS JADA MEREDITH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JADA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEREDITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-510-2469
Mailing Address - Street 1:153 WINDSOR CASTLE DR APT H
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-1963
Mailing Address - Country:US
Mailing Address - Phone:757-510-2469
Mailing Address - Fax:757-527-2275
Practice Address - Street 1:153 WINDSOR CASTLE DR APT H
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-1963
Practice Address - Country:US
Practice Address - Phone:757-510-2469
Practice Address - Fax:757-527-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty