Provider Demographics
NPI:1003125154
Name:METROPOLITAN HOME CARE
Entity Type:Organization
Organization Name:METROPOLITAN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NJOKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-853-9316
Mailing Address - Street 1:300 W I PKWY
Mailing Address - Street 2:STE 208
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-5079
Mailing Address - Country:US
Mailing Address - Phone:404-853-9316
Mailing Address - Fax:770-818-5720
Practice Address - Street 1:300 W I PKWY
Practice Address - Street 2:STE 208
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-5079
Practice Address - Country:US
Practice Address - Phone:404-853-9316
Practice Address - Fax:770-818-5720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-R-0763253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care