Organization Active NPI

Xtra Matrix Global Services LLC

  • Secured Medical Transport (VAN)
  • Heartland, TX
National Provider Identifier
1063185585
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
XTRA MATRIX GLOBAL SERVICES LLC
Practice address
3944 Rochelle LN
Heartland, TX 75126-2657
Phone
(832) 497-6322
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Mr. Christian Oisemaye Imoukhuede
Title
Ceo
Phone
(832) 497-6322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

3944 Rochelle LN
Heartland, TX 75126-2657

Mailing address

3944 Rochelle LN
Heartland, TX 75126-2657
Phone (832) 497-6322

Other practice location 1

3900 Grapevine Mills Pkwy Unit 3131
Grapevine, TX 76051-0943
Phone (832) 497-6322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1063185585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 ROCHELLE LN",
            "city": "HEARTLAND",
            "state": "TX",
            "postal_code": "751262657",
            "telephone_number": "832-497-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 ROCHELLE LN",
            "city": "HEARTLAND",
            "state": "TX",
            "postal_code": "751262657",
            "telephone_number": "832-497-6322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Grapevine Mills Pkwy Unit 3131",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760510943",
            "country_code": "US",
            "telephone_number": "832-497-6322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "XTRA MATRIX GLOBAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "IMOUKHUEDE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "OISEMAYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-497-6322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heartland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.