Mfa Maryville Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MFA MARYVILLE OPCO LLC

Practice address

911 Epworth Rd
Maryville, TN 37804-3530

Phone

(301) 250-2105

NPI assigned

Mar 28, 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

Joshua Rosen

Title

Managing Partner

Phone

(469) 619-5372

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1508617523",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 EPWORTH RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378043530",
            "telephone_number": "301-250-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFA MARYVILLE OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MFA TENNESSEE HOLDINGS LLC",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "JOSHUA",
        "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": []
}

• Ashley Brooke Merrick
• Morgan Elaine Merrick
• Melissa Carol Metcalf, RN
• Richard C Metelka, MD
• Rosemarie Jennifer Mexted, OTR
• Michael Wall, PC
• Abigale Sarah Miller
• Craig Miller Jr., MD
• Paul Warrick Miller, M.D.
• Tanya Lynette Miller

• Assisted Living Facility in Maryville, TN
• Providers in Maryville, 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 Mar 28, 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.