Healthcare Provider Details

I. General information

NPI: 1376027896
Provider Name (Legal Business Name): METRO GROUP CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2018
Last Update Date: 09/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6490 LANDOVER RD STE 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:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

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