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MATRIX HOME CARE LLC NPI 1538429477


NPI Information

NPI: 1538429477
Provider Name: MATRIX HOME CARE, LLC
Classification: Technician - 3747A0650X
Entity Type: Organization

Specialization: Attendant Care Provider

CLIA Number: 10D2045753

Address:
1801 CENTREPARK DR E STE 100
WEST PALM BEACH, FL
ZIP 33401
Phone: (561) 367-1019
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MATRIX HOME CARE, LLC is an attendant care provider technician in West Palm Beach, FL. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. MATRIX HOME CARE, LLC NPI is 1538429477. The provider is registered as an organization entity type.

The provider's business location address is:

1801 CENTREPARK DR E STE 100
WEST PALM BEACH, FL
ZIP 33401-426
Phone: (561) 367-1019
Fax: (561) 395-3603

The provider's authorized official is Pernille Ostberg .
The authorized official title is Ceo and has the following contact phone number (561) 471-2992.

The CLIA number assigned to this NPI record is 10D2045753 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2012 and was last updated on 10/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health299991418FLORIDANo
23747A0650XTechnicianAttendant Care ProviderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1299991418OTHERFLORIDAAHCA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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