Mfa Steadman Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MFA STEADMAN OPCO LLC

Doing business as

Asbury Place Kingsport

Practice address

1300 Bloomingdale Pike
Kingsport, TN 37660-2685

Phone

(301) 250-2105

NPI assigned

Apr 22, 2024

Organization subpart

Yes

Parent organization

MFA TENNESSEE HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Josh Rosen

Title

Managing Partner

Phone

(469) 619-5372

Specialties & licenses 1

Addresses

Other names 1

• Asbury Place Kingsport Doing business as

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1326893561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 E MOCKINGBIRD LN STE 575",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065109",
            "telephone_number": "301-250-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BLOOMINGDALE PIKE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376602685",
            "telephone_number": "301-250-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFA STEADMAN OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MFA TENNESSEE HOLDINGS LLC",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "469-619-5372"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asbury Place Kingsport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron K Metcalf, D.O.
• Brent Metcalf, LCSW
• David Christopher Metzger, M.D.
• Kathryn Amanda Metzger, RPH
• Mary L Meyer, BBA, MT, MMP
• Jule Ellen Michael, FNP
• Richard Edmund Michalik, M.D.
• Madyson Middleton, MD
• Michelle L Miethe, PHARM D
• Angela Miles, FNP

• Assisted Living Facility in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.