Provider Demographics
NPI:1255664256
Name:METROLINA HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:METROLINA HEALTHCARE SERVICES LLC
Other - Org Name:BRIGHTSTAR HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SNEHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-919-0955
Mailing Address - Street 1:10722 CARMEL COMMONS BLVD
Mailing Address - Street 2:SUITE 440
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-3786
Mailing Address - Country:US
Mailing Address - Phone:704-919-0955
Mailing Address - Fax:704-919-0998
Practice Address - Street 1:10722 CARMEL COMMONS BLVD
Practice Address - Street 2:SUITE 440
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-3786
Practice Address - Country:US
Practice Address - Phone:704-919-0955
Practice Address - Fax:704-919-0998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3879253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care