MG Port Charlotte I Subtenant LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MG PORT CHARLOTTE I SUBTENANT LLC

Doing business as

Truewood by Merrill, Port Charlotte

Practice address

2500 Aaron St
Port Charlotte, FL 33952-6743

Phone

(941) 627-6762

NPI assigned

Mar 27, 2020

Last updated

May 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas D. Spear

Title

Authorized Representative

Phone

(206) 676-5300

Specialties & licenses 1

Addresses

Other names 1

• Truewood by Merrill, Port Charlotte Doing business as

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1487282349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 FAIRVIEW AVE E STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023650",
            "telephone_number": "206-676-5300",
            "fax_number": "206-676-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 AARON ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526743",
            "telephone_number": "941-627-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG PORT CHARLOTTE I SUBTENANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "SPEAR",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "206-676-5300"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Truewood by Merrill, Port Charlotte",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Truewood by Merrill, Port Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krzysztof J Merkel, MD
• Merona Grey
• Metro Treatment of Florida, LP (New Season Treatment Center 30)
• Tetyana Metyk, MD
• Alla Mezhevaya, RDMS, RVT, RDCS
• MG Port Charlotte II Subtenant LLC (Truewood by Merrill, Charlotte Center)
• Michael a, Coffey MD PA
• Michael D Mozzetti MD PL (Express Care Medical Cinic)
• Michael R Harper DDS PA
• Michael T. McCormick & Associates PA

• Assisted Living Facility in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.