Healthcare Provider Details

I. General information

NPI: 1073850848
Provider Name (Legal Business Name): METRO HOME CARE ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2013
Last Update Date: 01/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5124 LEXINGTON RIDGE DR
LEXINGTON MA
02421-8314
US

IV. Provider business mailing address

PO BOX 550219
NORTH WALTHAM MA
02455-0219
US

V. Phone/Fax

Practice location:
  • Phone: 857-312-7100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number8293
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number8293
License Number StateMA

VIII. Authorized Official

Name: MASSEY THOMAS-GAY
Title or Position: DIRECTOR
Credential:
Phone: 857-312-7100