Mga Home Healthcare Fayetteville, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

MGA HOME HEALTHCARE FAYETTEVILLE, LLC

Practice address

1100 South Stratford Rd
BLDG C Suite 301
Winston-Salem, NC 27103

Phone

(336) 280-0435

Fax

(336) 217-8746

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Wendy Chavez, MSN, RN

Title

VP, Operations

Phone

(704) 200-9015

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MGA Homecare Doing business as

Electronic endpoints 1

Tax ID family

Mga Home Healthcare Fayetteville LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Mga Home Healthcare Fayetteville, LLC

  • Nursing Care Agency
  • Fayetteville, NC
  • NPI 1518613330
  NPD tax ID
• Mga Home Healthcare Fayetteville, LLC

  • Nursing Care Agency
  • Raleigh, NC
  • NPI 1659950442
  NPD tax ID
• Mga Home Healthcare Fayetteville, LLC

  • Nursing Care Agency
  • Charlotte, NC
  • NPI 1770160210
  NPD tax ID

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1639825458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTH STRATFORD RD",
            "address_2": "BLDG C SUITE 301",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-280-0435",
            "fax_number": "336-217-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTH STRATFORD RD",
            "address_2": "BLDG C SUITE 301",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-280-0435",
            "fax_number": "336-217-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGA HOME HEALTHCARE FAYETTEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "VP, OPERATIONS",
        "authorized_official_telephone_number": "704-200-9015",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC6135",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC6067",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mgahomecare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 South Stratford Rd",
            "address_2": "Bldg C Suite 301",
            "city": "Winston-Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MGA Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katharine Meyer, MD
• Marianne Meyer, MA
• Mark Lawrence Meyer, D.D.S.
• Melissa Faye Meyer, MD
• Sarah Kabler Meyer, PT
• Fatima Mghazli, WHNP-BC
• MH Medical Services, PC
• MH Medical Services, PC
• MH Medical Services, PC
• Hilary Miaczynski

• Nursing Care Agency in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.