1205134780 NPI number — METROPOLITAN HOMECARE CONSULTANTS, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205134780 NPI number — METROPOLITAN HOMECARE CONSULTANTS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
METROPOLITAN HOMECARE CONSULTANTS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205134780
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
178 BEACH 133RD ST
Provider Second Line Business Mailing Address:
PRIVATE
Provider Business Mailing Address City Name:
ROCKAWAY PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11694-1434
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
171-847-4789
Provider Business Mailing Address Fax Number:
171-847-4789

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
178 BEACH 133RD. STREET.
Provider Second Line Business Practice Location Address:
PRIVATE
Provider Business Practice Location Address City Name:
ROCKAWAY PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11694-1434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
171-847-4789
Provider Business Practice Location Address Fax Number:
171-847-4789
Provider Enumeration Date:
03/07/2011

Additional Information

Authorized Official

Authorized Official Last Name:
RUGGIERO
Authorized Official First Name:
GERALD
Authorized Official Middle Name:
ANTHONY
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
17184747897

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X , with the licence number:  000047-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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