Organization Active NPI

Matrix Home Care Services of New Mexico, LLC

  • Home Health Agency
  • Las Cruces, NM
National Provider Identifier
1215953617
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MATRIX HOME CARE SERVICES OF NEW MEXICO, LLC
Practice address
1100 S Main St Ste a
Las Cruces, NM 88005-2952
Phone
(575) 525-8755
Fax
(575) 525-8795
NPI assigned
Jul 15, 2006
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Kate Connolly, MSN, RN, CNL
Title
Ceo/ Administrator
Phone
(214) 817-9799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1100 S Main St Ste a
Las Cruces, NM 88005-2952

Mailing address

1100 S Main St Ste a
Las Cruces, NM 88005-2952
Phone (575) 525-8755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061025000718 NM Part A Provider - Home Health Agency 3274530787 Practice locations: Las Cruces, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215953617. Details of each certification follow.

Home health agency certification: CCN 327202

Legal name
MATRIX HOME CARE SERVICES OF NEW MEXICO LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 26, 2007
Last certification
Jun 13, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1100 S Main St
Ste a
Las Cruces, NM 88005-2952

Care Compare: Home health agency

Medicare Care Compare
Listed as
Matrix Home Care Services of New Mexico, LLCCCN 327202 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Apr 26, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D1056899Matrix Home Care of New Mexico1100 S Main St Suite a, Las Cruces, NM 88005Certificate of waiverJul 27, 2028

National Provider Directory

National Provider Directory

Locations

1100 S Main St
Ste 103
Las Cruces, NM 88005
Phone (575) 525-8755

1100 S Main St
Ste 201
Las Cruces, NM 88005
Phone (575) 286-0897

1100 S Main St
Ste A
Las Cruces, NM 88005
Phone (505) 524-3571

Ownership & related parties

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.

NameRoleSinceShare
Matrix NM Holding LLC Organization, Las Cruces, NM LLC 5% Or Greater Direct Ownership Interest May 1, 2023 100%
5% Or Greater Security Interest May 1, 2024 100%
Operational/Managerial Control May 1, 2024 100%
Kate Connolly Individual 5% Or Greater Indirect Ownership Interest May 1, 2023 59.9%
Corporate OfficerMSN, RN, Admin, Manager, Ceo May 1, 2023 100%
Corporate DirectorMSN, RN, Admin, Manager, Ceo, May 1, 2023 100%
W-2 Managing EmployeeAd; May 1, 2023 100%

Practitioners & affiliated clinicians

Affiliated clinicians 6

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1215953617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S MAIN ST STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052952",
            "telephone_number": "575-525-8755",
            "fax_number": "575-525-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MAIN ST STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052952",
            "telephone_number": "575-525-8755",
            "fax_number": "575-525-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX HOME CARE SERVICES OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "CEO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "214-817-9799",
        "authorized_official_credential": "MSN, RN, CNL"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.