Provider Demographics
NPI:1750647194
Name:METNURSE HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:METNURSE HEALTH SERVICES, INC.
Other - Org Name:MHS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:U
Authorized Official - Last Name:OKWUADIGBO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:678-694-7180
Mailing Address - Street 1:155 WESTRIDGE PKWY
Mailing Address - Street 2:SUITE 221
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-3049
Mailing Address - Country:US
Mailing Address - Phone:678-694-7180
Mailing Address - Fax:855-874-4592
Practice Address - Street 1:155 WESTRIDGE PKWY
Practice Address - Street 2:SUITE 221
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-3049
Practice Address - Country:US
Practice Address - Phone:678-694-7180
Practice Address - Fax:855-874-4592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA075-R-0969251E00000X, 332BX2000X
320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies