Organization Active NPI

Metro 1 Home Care Inc

  • Home Health Agency
  • Dacula, GA
National Provider Identifier
1326517780
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
METRO 1 HOME CARE INC
Practice address
3613 Braselton Hwy Ste 103
Dacula, GA 30019-4665
Phone
(678) 689-3003
NPI assigned
Nov 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Mrs. Chioma Mbonu
Title
Ceo
Phone
(678) 689-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3613 Braselton Hwy Ste 103
Dacula, GA 30019-4665

Mailing address

3613 Braselton Hwy Ste 103
Dacula, GA 30019-4665
Phone (678) 689-3003

Other identifiers 1

IdentifierTypeStateIssuer
003113770AMedicaidGA

National Provider Directory

National Provider Directory

Locations

3613 Braselton Hwy
Ste 103
Dacula, GA 30019
Phone (678) 689-3003

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1326517780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 BRASELTON HWY STE 103",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194665",
            "telephone_number": "678-689-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 BRASELTON HWY STE 103",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194665",
            "telephone_number": "678-689-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO 1 HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "MBONU",
        "authorized_official_first_name": "CHIOMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-689-3003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003113770A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.