Metroplex Adventist Hospital, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

002578 Issued in TX

Legal business name

METROPLEX ADVENTIST HOSPITAL, INC.

Practice address

2115 S. Clear Creek Rd.
Killeen, TX 76549

Phone

(254) 519-8930

Fax

(254) 526-0075

NPI assigned

Jul 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Brock

Title

Chief Executive Officer

Phone

(254) 519-8165

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Home Care of Metroplex Hospital Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Scott & White Memorial Hospital

  • Community Based Hospice Care Agency
  • Waco, TX
  • NPI 1669566584

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1316970569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 S. CLEAR CREEK RD.",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76549",
            "telephone_number": "254-519-8930",
            "fax_number": "254-526-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S. CLEAR CREEK RD.",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76549",
            "telephone_number": "254-519-8930",
            "fax_number": "254-526-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX ADVENTIST HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "254-519-8165"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "002578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095172501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS LIFE INS",
            "identifier": "677733",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING LIFE MCR",
            "identifier": "677733",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005074210",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "132428100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR WC",
            "identifier": "236103100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH8037",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INS GOLD CHC MCR",
            "identifier": "677733",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMELINK",
            "identifier": "N7148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care of Metroplex Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Metroplex Adventist Hospital Inc
• Metroplex Adventist Hospital Inc
• Metroplex Adventist Hospital Inc
• Metroplex Adventist Hospital, Inc
• Metroplex Adventist Hospital, Inc
• Metroplex Adventist Hospital, Inc.
• Metroplex Adventist Hospital, Inc.
• Metroplex Clinic Physicians, Inc.
• Metx, LLC
• Velma Mewborn-Bender, M.S., CCC-SLP

• All providers in Killeen, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.