Provider Demographics
NPI:1073712097
Name:METRO CARE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:METRO CARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPCS
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA CHONA
Authorized Official - Middle Name:RAFOLS
Authorized Official - Last Name:CATUIRA
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:909-447-1000
Mailing Address - Street 1:4959 PALO VERDE ST STE 104A
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2345
Mailing Address - Country:US
Mailing Address - Phone:909-447-1000
Mailing Address - Fax:909-624-5953
Practice Address - Street 1:4959 PALO VERDE ST STE 104A
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763
Practice Address - Country:US
Practice Address - Phone:909-447-1000
Practice Address - Fax:909-624-5953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000203251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08347FMedicaid
CA058347Medicare Oscar/Certification