Provider Demographics
NPI:1629466636
Name:METRO PLEX HOME CARE SERVICES , LLC
Entity Type:Organization
Organization Name:METRO PLEX HOME CARE SERVICES , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FORTUNE
Authorized Official - Suffix:
Authorized Official - Credentials:RN B,S,N
Authorized Official - Phone:973-393-3876
Mailing Address - Street 1:200 MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-3762
Mailing Address - Country:US
Mailing Address - Phone:862-292-9025
Mailing Address - Fax:862-292-9334
Practice Address - Street 1:200 MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-3762
Practice Address - Country:US
Practice Address - Phone:862-292-9025
Practice Address - Fax:862-292-9334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-27
Last Update Date:2014-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0197800251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health