Healthcare Provider Details

I. General information

NPI: 1225213325
Provider Name (Legal Business Name): METRO HOMES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 09/17/2020
Certification Date: 09/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 SLIGO MILL RD NE
WASHINGTON DC
20011-1500
US

IV. Provider business mailing address

6001 SLIGO MILL RD NE
WASHINGTON DC
20011-1500
US

V. Phone/Fax

Practice location:
  • Phone: 202-829-1707
  • Fax: 202-829-0124
Mailing address:
  • Phone: 202-829-1707
  • Fax: 202-829-0124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MAXWELL ASENSO
Title or Position: EXEC DIRECTOR
Credential:
Phone: 202-829-1707