METROCARE OF SPRINGFIELD LLC


Address: 125 Liberty St, Suite 404, Springfield, MA 01103-1109
Phone: 6302129145

METROCARE OF SPRINGFIELD LLC (NPI# 1457717795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457717795
Entity Type Organization
Organization Name METROCARE OF SPRINGFIELD LLC
Practice Address 125 Liberty St
Suite 404
Springfield
MA 01103-1109
Practice Telephone 6302129145
Enumeration Date 2015-12-31
Last Update Date 2015-12-31
Authorized Official Name ALEX EYDINOV (LLC MANAGER)
Authorized Official Telephone 6302129145
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253Z00000X In Home Supportive Care Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MA PENDING 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073088837 Metrocare of Springfield LLC Foster Care Agency 125 Liberty St Ste 404, Springfield, MA 01103-1109 2018-10-09

Office Location

Street Address 125 LIBERTY ST
SUITE 404
City SPRINGFIELD
State MA
Zip Code 01103-1109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619977402 Peter T Demos Dermatology 125 Liberty St, Springfield, MA 01103-2961 2005-07-22
1881206241 Carl Amyas Taylor Counselor 125 Liberty St, Springfield, MA 01103-1114 2020-08-18
1346892437 L&l Life Enrichment Center LLC Psychologist 125 Liberty St, Springfield, MA 01103-1114 2019-07-10
1912440892 Metrocare of Springfield Nursing Care 125 Liberty St, Suite 404, Springfield, MA 01103-1114 2016-11-28
1730622614 Metrocare of Springfield Custodial Care Facility 125 Liberty St, Springfield, MA 01103-1114 2016-11-28
1215384409 Adult and Geriatric Medicine Partners, L.L.C. Family Medicine 125 Liberty St, Suite 403, Springfield, MA 01103-1114 2016-05-18
1457729741 Right Choice Health Group LLC Clinic/Center 125 Liberty St, Suite 205, Springfield, MA 01103-1114 2015-09-03
1730557018 Mindcare Agency PC Community/Behavioral Health 125 Liberty St, Suite 205, Springfield, MA 01103-1114 2015-09-03
1427431402 Nicole Dacampo Registered Nurse 125 Liberty St, Suite 205, Springfield, MA 01103-1114 2015-07-08
1427435262 Nancie Moran Nurse Practitioner 125 Liberty St, Suite 403, Springfield, MA 01103-1114 2015-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336790609 Mahmoud Al Homsi Dentist 41 Taylor St. 4th Fl, Springfield, MA 01103 2019-09-26
1427521749 Pedro Cruz Student in an Organized Health Care Education/Training Program 95 Frank B Murray, Springfield, MA 01103 2019-01-09
1003325010 Amber Lynn Chisholm Counselor 130 Maple St., Springfield, MA 01103 2017-09-21
1750737391 Mande' Counseling Community/Behavioral Health 1365 Main St Suite 401, Springfield, MA 01103 2016-05-13
1528467248 Amanda M Galloway Physician Assistant 1038-1050 Main St, Springfield, MA 01103 2014-08-19
1114326113 Anne Marie Belinda Nurse Practitioner 1049 Main St., Springfield, MA 01103 2014-08-15
1538575295 Sunrise Behavioral Health Clinic, LLC Clinic/Center 95 Frank B. Murray Street, Springfield, MA 01103 2014-07-02
1548675093 Jessica Lynn Pasalacqua Dietitian, Registered 870 Main St., Springfield, MA 01103 2014-06-24
1003220443 Ivan Rosario Counselor 1695 Main St Ste400, Springfield, MA 01103 2014-06-13
1275964769 Leeandrew Rick Wilson Counselor 1695 Main St., Springfield, MA 01103 2013-12-09
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396346227 Coach for Seniors Inc. In Home Supportive Care 7020 Petunia St, Springfield, VA 22152-3448 2020-11-06
1396346508 Bec Personal Care, LLC In Home Supportive Care 3513 Sundance Dr, Springfield, IL 62711-6719 2020-11-04
1912518739 Soul Fill LLC In Home Supportive Care 56 Phoenix St, Springfield, MA 01104-2451 2020-08-14
1265064224 Golden Hours Senior Services, LLC. In Home Supportive Care 807 S Laurel St Ste A, Springfield, GA 31329-9273 2020-02-07
1073159117 Angel Companion Home Care LLC In Home Supportive Care 7011 Calamo St Ste 112, Springfield, VA 22150-3510 2019-11-25
1407491939 Dawn Nicole Smith In Home Supportive Care 1498 Plumtree Rd, Springfield, MA 01119-2955 2019-11-07
1295384725 Samantha Jean Home Care In Home Supportive Care 49 Athol St, Springfield, MA 01107-1310 2019-09-07
1174172993 Sdx Home Care Operations, LLC In Home Supportive Care 101 N Fountain Ave, Springfield, OH 45502-1118 2019-09-04
1932687183 Affinity Patient Coordination LLC In Home Supportive Care 217 E Monroe St Ste 102, Springfield, IL 62701 2018-07-31
1033604020 Modayil Enterprises, LLC In Home Supportive Care 1927 S National Ave Ste C, Springfield, MO 65804-2279 2018-06-22
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Competitor

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City SPRINGFIELD
Zip Code 01103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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