Metthen, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

688264196 Issued in FL

Legal business name

METTHEN, INC

Doing business as

Mona's Group Home

Practice address

225 NW 79TH Ave
Margate, FL 33063-4727

Phone

(954) 609-8479

NPI assigned

Oct 17, 2008

Last updated

Oct 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elsie Mona Henry, REGISTERED NURSE

Title

Administrator

Phone

(954) 609-8479

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mona's Group Home Doing business as

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1992957278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 NW 79TH AVE",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330634727",
            "telephone_number": "954-609-8479",
            "fax_number": "954-971-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NW 79TH AVE",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330634727",
            "telephone_number": "954-609-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METTHEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_middle_name": "MONA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-609-8479",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "688264196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "688264196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mona's Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Margate, FL
• Providers in Margate, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.