Active NPI
Matrix Home Care LLC
- Attendant Care Provider
- Venice, FL
National Provider Identifier
1083974398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- MATRIX HOME CARE LLC
- Practice address
- 1505 Tamiami TRL S Ste 402B
Venice, FL 34285-5562 - Phone
- (941) 493-0767
- Fax
- (877) 670-4785
- NPI assigned
- May 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pernille Ostberg
- Title
- Ceo
- Phone
- (561) 471-2992
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299991415 | FL | |
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
1505 Tamiami TRL S Ste 402B
Venice, FL 34285-5562
Mailing address
1800 S Australian Ave Ste 350
West Palm Beach, FL 33409-6457
Phone (561) 471-2992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299991415 | Other | FL | AHCA LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Matrix Home Care LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Attendant Care Provider
- Brandon, FL
- NPI 1235499567
-
- Attendant Care Provider
- West Palm Beach, FL
- NPI 1538429477
-
- Attendant Care Provider
- Miami, FL
- NPI 1619237930
-
- Attendant Care Provider
- Brandon, FL
- NPI 1750509147
-
- Attendant Care Provider
- Davie, FL
- NPI 1770843096
Locations
1505 Tamiami Trl S
Ste 402B
Venice, FL 34285
Phone (941) 493-0767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735603200000",
"number": "1083974398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 S AUSTRALIAN AVE STE 350",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096457",
"telephone_number": "561-471-2992",
"fax_number": "561-471-2998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 TAMIAMI TRL S STE 402B",
"city": "VENICE",
"state": "FL",
"postal_code": "342855562",
"telephone_number": "941-493-0767",
"fax_number": "877-670-4785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATRIX HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-21",
"last_updated": "2024-12-31",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "OSTBERG",
"authorized_official_first_name": "PERNILLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-471-2992",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299991415",
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA LICENSE",
"identifier": "299991415",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.