Provider Demographics
NPI:1427416023
Name:THE METTA HOMES LLC
Entity Type:Organization
Organization Name:THE METTA HOMES LLC
Other - Org Name:METTA HOMES AND TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ALICE
Authorized Official - Last Name:BENTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:608-697-7698
Mailing Address - Street 1:198 KILBY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:MONTELLO
Mailing Address - State:WI
Mailing Address - Zip Code:53949-9151
Mailing Address - Country:US
Mailing Address - Phone:608-697-7698
Mailing Address - Fax:608-297-8273
Practice Address - Street 1:N2960 STATE ROAD 22
Practice Address - Street 2:
Practice Address - City:MONTELLO
Practice Address - State:WI
Practice Address - Zip Code:53949-9037
Practice Address - Country:US
Practice Address - Phone:608-697-7698
Practice Address - Fax:608-297-8273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)