Metro Care Home Medical Center, Inc.

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

0040000019571401 Issued in WI

Legal business name

METRO CARE HOME MEDICAL CENTER, INC.

Practice address

9225 N 76TH St
Milwaukee, WI 53223-1058

Phone

(262) 250-0820

Fax

(262) 250-0825

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jim L Poteet

Title

President

Phone

(262) 250-0820

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Metrocare Home Medical Equipment, Inc. Doing business as

Locations

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1639148398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231058",
            "telephone_number": "262-250-0820",
            "fax_number": "262-250-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231058",
            "telephone_number": "262-250-0820",
            "fax_number": "262-250-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO CARE HOME MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "POTEET",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-250-0820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WI",
            "license": "004000019571401",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "WI",
            "license": "0040000019571401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41682400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metrocare Home Medical Equipment, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Parenteral & Enteral Nutrition Supplies (DME) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.