Organization Active NPI

Metamorphosis Healthcare Group LLC

  • Home Health Agency
  • Chapel Hill, NC
National Provider Identifier
1639607815
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
292984 Issued in NC
Legal business name
METAMORPHOSIS HEALTHCARE GROUP LLC
Practice address
2505 Homestead Rd
Chapel Hill, NC 27516-9087
Phone
(919) 748-2680
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Authorized official

Name
Crystal Octavia TownsendNPI 1174051544
Title
Director of Operations
Phone
(919) 748-2680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 292984 NC Primary

Addresses

Primary practice location

2505 Homestead Rd
Chapel Hill, NC 27516-9087

Mailing address

PO Box 2882
Chapel Hill, NC 27515-2882
Phone (919) 748-2680

Other identifiers 1

IdentifierTypeStateIssuer
292984OtherNCNURSING

National Provider Directory

National Provider Directory

Locations

2505 Homestead Rd
Chapel Hill, NC 27516
Phone (858) 360-5807

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1639607815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2882",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275152882",
            "telephone_number": "919-748-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 HOMESTEAD RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169087",
            "telephone_number": "919-748-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "OCTAVIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "919-748-2680"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "292984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING",
            "identifier": "292984",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.