Matrix LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MATRIX LLC

Practice address

1603 Momentum PL
Chicago, IL 60689-5316

Phone

(616) 975-5209

Fax

(616) 588-0971

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Dianne Mateja, RN

Title

Director of Sub Acute Services

Phone

(616) 957-3957

Specialties & licenses 1

Addresses

Other names 1

• Metron Sub Acute Services Doing business as

Locations

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376651489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 ORCHARD VISTA DR SE",
            "address_2": "STE. 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895316",
            "telephone_number": "616-975-5209",
            "fax_number": "616-588-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MATEJA",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "DIRECTOR OF SUB ACUTE SERVICES",
        "authorized_official_telephone_number": "616-957-3957",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metron Sub Acute Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chloe Noelle Matovina, MD
• Linda Marie Matre, OT
• Matrescence Therapy
• Andrew Jacob Matrick, MD, MBA
• Jacob Bernard Matrille, D.C.
• Maria Matsangou, M.D.
• Jordanna Matsoff, APN
• Jeffrey W. Matson, APN-CRNA
• Benjamin Matsumoto, MD
• Edward J. Matsumoto, DDS

• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.