Matisa Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MATISA INC

Practice address

601 Palm Dr Apt 102
Glendale, CA 91202-3311

Phone

(818) 391-0634

NPI assigned

Dec 16, 2020

Organization subpart

No

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

Authorized official

Name

Jade Hanson

Title

Compliance Officer

Phone

(916) 934-4913

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757558

Legal name

MATISA INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 31, 2023

Last certification

Oct 20, 2023

Organization structure

CorporationProprietary

Incorporated

Jan 28, 2021 in CA

Enrollment address

1440 N Harbor Blvd
Ste 103C
Fullerton, CA 92835-4114

Listed as

Matisa, Inc.CCN 757558

Overall star rating

4 of 5

Ownership

-

Certified

Oct 31, 2023

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Matisa Durable Equipment

  • Durable Medical Equipment & Medical Supplies
  • Burbank, CA
  • NPI 1407669252
  NPPES parent name

Affiliated clinicians 1

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

• Frank Choe, DO

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1194201681

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1013503739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PALM DR APT 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PALM DR APT 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023311",
            "telephone_number": "818-391-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATISA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "916-934-4913"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anahit G Matevosyan, MD
• Nora Matevosyan
• Lindsy Mathewkutty
• Malethea J Mathurin, NURSE
• Maria Cecilia Matibag, RPH
• Schake Jackie Matjan, PAC
• Natalie Matossian, PSY.D.
• Karolin Matousian
• Matrigene Laboratories Inc
• Matrix Diagnostics Inc

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.