Provider Demographics
NPI:1497848915
Name:METRO CARE TEAM LLC
Entity Type:Organization
Organization Name:METRO CARE TEAM LLC
Other - Org Name:METRO CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:NWANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-328-1818
Mailing Address - Street 1:2550 GRAY FALLS DR STE 142
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6687
Mailing Address - Country:US
Mailing Address - Phone:832-328-1818
Mailing Address - Fax:832-328-1820
Practice Address - Street 1:2550 GRAY FALLS DR STE 142
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6687
Practice Address - Country:US
Practice Address - Phone:832-328-1818
Practice Address - Fax:832-328-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012404251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX453106Medicare Oscar/Certification