Provider Demographics
NPI:1700914876
Name:METROPOLITAN HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:METROPOLITAN HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:MCINTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-503-7730
Mailing Address - Street 1:7714 BROOKLYN BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-2980
Mailing Address - Country:US
Mailing Address - Phone:763-503-7730
Mailing Address - Fax:
Practice Address - Street 1:7714 BROOKLYN BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-2980
Practice Address - Country:US
Practice Address - Phone:763-503-7730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN335044251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health