Provider Demographics
NPI:1235219775
Name:META-CARE INC
Entity Type:Organization
Organization Name:META-CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:TURNER-GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-558-6100
Mailing Address - Street 1:6391 DE ZAVALA RD
Mailing Address - Street 2:SUITE 221
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2143
Mailing Address - Country:US
Mailing Address - Phone:210-558-6100
Mailing Address - Fax:210-558-8226
Practice Address - Street 1:6391 DE ZAVALA RD
Practice Address - Street 2:SUITE 221
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2143
Practice Address - Country:US
Practice Address - Phone:210-558-6100
Practice Address - Fax:210-558-8226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007766251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679270Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER