Organization Active NPI

Matrxcare

  • Nursing Care Agency
  • Woodbury, MN
National Provider Identifier
1396928016
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
MATRXCARE
Practice address
10020 Hudson Rd
Woodbury, MN 55125-9100
Phone
(651) 269-2999
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Mr. Gary Ray Bailey, RN
Title
Owner
Phone
(651) 770-2459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

10020 Hudson Rd
Woodbury, MN 55125-9100

Mailing address

10020 Hudson Rd
Woodbury, MN 55129-9100
Phone (651) 269-2999

National Provider Directory

National Provider Directory

Locations

10020 Hudson Rd
Woodbury, MN 55129
Phone (651) 269-2999

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1396928016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 HUDSON RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551299100",
            "telephone_number": "651-269-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 HUDSON RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259100",
            "telephone_number": "651-269-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRXCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-770-2459",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.