Matrix Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MATRIX HOSPICE INC

Practice address

17141 Ventura Blvd Ste 205
Encino, CA 91316-4037

Phone

(818) 807-7118

Fax

(310) 997-2546

NPI assigned

Jun 12, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mahnaz Hakami, MS,MPH

Title

Ceo/President

Phone

(310) 997-2549

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 921550

Legal name

MATRIX HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 2, 2016

Last certification

Aug 16, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

17141 Ventura Blvd
Ste 205
Encino, CA 91316-4037

Listed as

Matrix Hospice IncCCN 921550

Ownership

For-Profit

Certified

Sep 2, 2016

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Mostafa S Rahimi, M.D

  • Family Medicine Physician
  • San Pedro, CA
  • NPI 1881687309

  Corporate Officer, W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mostafa S Rahimi, M.D

  • Family Medicine Physician
  • San Pedro, CA
  • NPI 1881687309

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1013355031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17141 VENTURA BLVD STE 205",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164037",
            "telephone_number": "310-997-2549",
            "fax_number": "310-997-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17141 VENTURA BLVD STE 205",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164037",
            "telephone_number": "818-807-7118",
            "fax_number": "310-997-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "HAKAMI",
        "authorized_official_first_name": "MAHNAZ",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "310-997-2549",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,MPH"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leora Matian
• Tiffany Rachel Matian, PHARMD
• Valentina Matosian
• Matrix Care Services LLC
• Matrix Health Promotion
• Teresita F Matsunaga, M.D.
• Matt Zarinnia, D.M.D. , a Professional Dental Corp.
• Matthew Malamet M.D. PC
• Lisa Matthews
• Martin Keith Matzinger, CMT, VCST

• Community Based Hospice Care Agency in Encino, CA
• Providers in Encino, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.