Active NPI
Metrolina Health Support Services
- Nursing Care Agency
- Matthews, NC
National Provider Identifier
1689850521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 117272
- Legal business name
- METROLINA HEALTH SUPPORT SERVICES
- Practice address
- 2812 Cross Point Cir Apt 13
Matthews, NC 28105-8343 - Phone
- (704) 777-0969
- Fax
- (704) 817-7920
- NPI assigned
- Jan 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Randal Howard Sykes, RN
- Title
- General Partner
- Phone
- (704) 777-0969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 117272 | NC | Primary |
Addresses
Primary practice location
2812 Cross Point Cir Apt 13
Matthews, NC 28105-8343
Mailing address
2812 Cross Point Circle #13
Matthews, NC 28105-8343
Phone (704) 777-0969
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199923200000",
"number": "1689850521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 CROSS POINT CIRCLE #13",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281058343",
"telephone_number": "704-777-0969",
"fax_number": "704-817-7920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2812 CROSS POINT CIR APT 13",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281058343",
"telephone_number": "704-777-0969",
"fax_number": "704-817-7920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROLINA HEALTH SUPPORT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-10",
"last_updated": "2008-01-10",
"status": "A",
"authorized_official_last_name": "SYKES",
"authorized_official_first_name": "RANDAL",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "704-777-0969",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NC",
"license": "117272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.