Metropolitan Homecare and Behavioral Services

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

000000000 Issued in NC

Legal business name

METROPOLITAN HOMECARE AND BEHAVIORAL SERVICES

Doing business as

Metropolitan Homecare and Behavioral Services

Practice address

120 W Martin Luther King Jr Dr
Washington, NC 27889-4906

Phone

(252) 940-0602

NPI assigned

Aug 3, 2012

Last updated

Aug 6, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

METROPOLITAN COMMUNITY HEALTH SERVICESAs reported in NPPES

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

Authorized official

Name

Melinda Moore

Title

Director

Phone

(252) 940-0600

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Metropolitan Homecare and Behavioral Services Doing business as

Part of

Metropolitan Community Health Services Inc

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1528314903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MARTIN LUTHER KING JR DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894906",
            "telephone_number": "252-940-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MARTIN LUTHER KING JR DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894906",
            "telephone_number": "252-940-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN HOMECARE AND BEHAVIORAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROPOLITAN COMMUNITY HEALTH SERVICES",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-940-0600"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "0000000000",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "000000000",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NC",
            "license": "00000000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropolitan Homecare and Behavioral Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mental Health Association of NC (CAC of Beaufort)
• Metropolitan Community Health Services, Inc (Agape Health Services Mobile Unit)
• Metropolitan Community Health Services, Inc (Agape Community Health Clinic)
• Metropolitan Community Health Services, Inc. (Agape Health Services - Carolina Avenue)
• Metropolitan Community Health Services, Inc. (Agape Health Services - Carolina Avenue)
• Billy R Miller
• Erika Mitchell
• Kaitlyn Mizelle
• Amy Michelle Modlin, DO
• Jeffrey Mohr, CST-CSFA

• Health Maintenance Organization in Washington, NC
• Providers in Washington, NC by specialty
• Health Maintenance Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.