Provider Demographics
NPI:1245896711
Name:METROPOLITAN HOME HEALTH LLC
Entity type:Organization
Organization Name:METROPOLITAN HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORY
Authorized Official - Middle Name:SADIA
Authorized Official - Last Name:BAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-651-6890
Mailing Address - Street 1:11720 BELVEDERE VISTA LN APT 202
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4345
Mailing Address - Country:US
Mailing Address - Phone:804-651-6890
Mailing Address - Fax:
Practice Address - Street 1:220 E BELT BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-1245
Practice Address - Country:US
Practice Address - Phone:804-651-6890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health