Organization Active NPI

Metro Valley Home Care LLC.

  • Home Health Agency
  • Surprise, AZ
National Provider Identifier
1982088738
Registry record updated Jul 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
METRO VALLEY HOME CARE LLC.
Practice address
18181 W Bridger St
Surprise, AZ 85388-1613
Phone
(623) 251-6307
Fax
(623) 251-6301
NPI assigned
Jul 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2015

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

Authorized official

Name
Mr. Damon Williams
Title
C.E.O.
Phone
(623) 251-6307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18181 W Bridger St
Surprise, AZ 85388-1613

Mailing address

18181 W Bridger St
Surprise, AZ 85388-1613
Phone (623) 251-6307

Other identifiers 1

IdentifierTypeStateIssuer
009426MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436572800000",
    "number": "1982088738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 W BRIDGER ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853881613",
            "telephone_number": "623-251-6307",
            "fax_number": "623-251-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 W BRIDGER ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853881613",
            "telephone_number": "623-251-6307",
            "fax_number": "623-251-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO VALLEY HOME CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-11",
        "last_updated": "2015-07-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "623-251-6307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009426",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2015; 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.