MEDICARE: MATRIX HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1427765189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATRIX HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	3226 S BRIAR KNOLL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3646
Country	:	US
Telephone Number	:	832-329-1935
Fax Number	:	281-741-1274

Provider Business Practice Location Address
First Line	:	3226 S BRIAR KNOLL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3646
Country	:	US
Telephone Number	:	832-329-1935
Fax Number	:	281-741-1274

Authorized Official
Title or Position	:	DIRECTOR
Name	:	COLLISTER CHIJI EKWURUKE
Credential	:
Telephone Number	:	832-329-1935

Provider Enumeration Date	:	11/02/2022
Last Update Date	:	11/02/2022

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Directions to “MATRIX HEALTH SERVICES LLC ” Practice Location

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