Provider Demographics
NPI:1073833356
Name:METROPOLITAN SOCIAL SERVICES
Entity Type:Organization
Organization Name:METROPOLITAN SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-862-6402
Mailing Address - Street 1:523 MAINSTREAM DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1238
Mailing Address - Country:US
Mailing Address - Phone:615-862-6400
Mailing Address - Fax:615-862-6404
Practice Address - Street 1:523 MAINSTREAM DR
Practice Address - Street 2:SUITE A
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1238
Practice Address - Country:US
Practice Address - Phone:615-862-6400
Practice Address - Fax:615-862-6404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332U00000XSuppliersHome Delivered MealsGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH445252Medicaid
TN01331335OtherAMERIGROUP