Metrocorp Affiliates, LTD.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC0149 Issued in NC

Legal business name

METROCORP AFFILIATES, LTD.

Practice address

401 E Russell St
Fayetteville, NC 28301-5745

Phone

(910) 483-5683

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria J. Ross, RN

Title

Executive Director

Phone

(704) 933-3314

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinity Home Care Doing business as

Tax ID family

Metrocorp Affiliates LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Metrocorp Affiliates, LTD

  • Home Health Agency
  • Fayetteville, NC
  • NPI 1407991425
  NPD tax ID
• Metrocorp Affiliates, LTD

  • Mental Illness Community Based Residential Treatment Facility
  • Lumberton, NC
  • NPI 1780728949
  NPD tax ID

Locations

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801930060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 LANE ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833748",
            "telephone_number": "704-933-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E RUSSELL ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015745",
            "telephone_number": "910-483-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROCORP AFFILIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-933-3314",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600309",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Methodist University
• Meto Medical PA
• Meto Network LLC
• Metro Treatment of North Carolina L P
• Metrocorp Affiliates, LTD
• Steven Metz Brown, CPO
• Walson Kehinde Metzger, MD
• Faatihah Meunier
• Kathryn Ann Meurer, PAC
• Eileen Marie Meyer, CRNA

• Home Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.