Charlotte Matos

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

2201 Brookside Dr
Caldwell, ID 83605-5371

Phone

(208) 756-7444

NPI assigned

Aug 31, 2026

Last updated

Aug 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1174431126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BROOKSIDE DR",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055371",
            "telephone_number": "208-756-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BROOKSIDE DR",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055371",
            "telephone_number": "208-756-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "CHARLOTTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Martinez, LMSW
• Joe Martinez
• Monique Massey, NP
• Nicholas A Massoth, D.M.D.
• Penny Angel Mata, MEDICAL ASSISTANT
• John Clark Mayberry, MD
• Sara L McClellin, LCSW
• Paul A McConnel, MD
• Isaac McConnell
• Wendi McCutchen Adams, LCPC, CADC

• Adult Care Home Facility in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Adult Care Home Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.