Healthcare Provider Details

I. General information

NPI: 1457717795
Provider Name (Legal Business Name): METROCARE OF SPRINGFIELD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2015
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51-59 TAYLOR ST 2ND FLOOR
SPRINGFIELD MA
01103-1109
US

IV. Provider business mailing address

51-59 TAYLOR ST 2ND FLOOR
SPRINGFIELD MA
01103-1109
US

V. Phone/Fax

Practice location:
  • Phone: 413-377-7777
  • Fax:
Mailing address:
  • Phone: 413-377-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALEX EYDINOV
Title or Position: LLC MANAGER
Credential:
Phone: 630-212-9145