Healthcare Provider Details

I. General information

NPI: 1467936203
Provider Name (Legal Business Name): METRO GROUP CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2018
Last Update Date: 09/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6490 LANDOVER RD # B5-A
CHEVERLY MD
20785-1443
US

IV. Provider business mailing address

10169 NEW HAMPSHIRE AVE STE 168
SILVER SPRING MD
20903-1713
US

V. Phone/Fax

Practice location:
  • Phone: 240-828-8895
  • Fax: 202-350-4332
Mailing address:
  • Phone: 240-828-8895
  • Fax: 202-350-4332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PAUL MGBEODURU
Title or Position: CEO
Credential:
Phone: 240-828-8895