Active NPI
Matrix Home Care Services of New Mexico, LLC
- Home Health Agency
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2024
- 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
- Kate Connolly, MSN, RN, CNL
- Title
- Ceo/ Administrator
- Phone
- (214) 817-9799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 26, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D1056899 | Matrix Home Care of New Mexico | Certificate of waiver | Jul 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Matrix NM Holding 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 | 5% Or Greater Indirect Ownership Interest | May 1, 2023 | 59.9% |
| Corporate Officer | May 1, 2023 | 100% | |
| Corporate Director | May 1, 2023 | 100% | |
| W-2 Managing Employee | May 1, 2023 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1902898257
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.