Provider Demographics
NPI:1780636829
Name:METRO HEALTH CARE INC
Entity Type:Organization
Organization Name:METRO HEALTH CARE INC
Other - Org Name:ADVANCED HOME HEALTH AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:RUBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-780-7000
Mailing Address - Street 1:4208 19TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-2405
Mailing Address - Country:US
Mailing Address - Phone:806-797-8099
Mailing Address - Fax:806-799-1433
Practice Address - Street 1:4208 19TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407-2405
Practice Address - Country:US
Practice Address - Phone:806-797-8099
Practice Address - Fax:806-799-1433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009869251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2332Medicaid
TX001014147Medicaid
TX001014147Medicaid