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General NPI Number Information
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NPI Number | 1619237930
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Entity Type | Organization
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Legal Business Name | MATRIX HOME CARE LLC
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 2307 S DOUGLAS RD STE 502
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City | MIAMI
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State | FL
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Zip | 33145-3071
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Country | US
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Telephone | 305-567-2614
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Fax | 305-567-2616
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Provider Business Mailing Address
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Address Line | 1800 S AUSTRALIAN AVE STE 350
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6457
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Country | US
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Telephone | 561-471-2992
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Fax | 561-471-2998
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Authorized Official
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Title or Position | CEO
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Name | MS. PERNILLE OSTBERG
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Credential |
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Telephone | 561-471-2992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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