Metrocare of Springfield Homecare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

METROCARE OF SPRINGFIELD HOMECARE INC

Practice address

125 Liberty St Ste 402
Springfield, MA 01103-1109

Phone

(617) 797-0434

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Alex Eydinov

Title

Owner

Phone

(630) 212-9145

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227753

Legal name

METROCARE OF SPRINGFIELD HOMECARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 12, 2021

Last certification

Apr 12, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 22, 2020 in MA

Enrollment address

51- 59 Taylor St
2ND Floor
Springfield, MA 01103-1265

Listed as

Metrocare of Springfield Homecare IncCCN 227753

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Apr 12, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1710519509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST STE 402",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031109",
            "telephone_number": "617-797-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST STE 402",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031109",
            "telephone_number": "617-797-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROCARE OF SPRINGFIELD HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "EYDINOV",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-212-9145"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Mestre
• Kailie Amanda Methe
• Sara Methven
• Rachel Metras, BCBA
• Metrocare of Springfield
• Metrocare of Springfield LLC
• Stephen A Metz, MD PHD
• Jennifer Guedes Metzger, LICSW
• Dustin Metzler
• Melissa Meunier

• Home Health Agency in Springfield, MA
• Providers in Springfield, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.