Mattie'S Homecare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

008700 Issued in TX

Legal business name

MATTIE'S HOMECARE SERVICES LLC

Practice address

12003 N Oaks Dr
Austin, TX 78753-2314

Phone

(512) 833-9026

Fax

(512) 719-9028

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mattie L Henderson, L.V.N.

Title

Administrator

Phone

(512) 833-9026

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1447304209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12003 N OAKS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787532314",
            "telephone_number": "512-833-9026",
            "fax_number": "512-719-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12003 N OAKS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787532314",
            "telephone_number": "512-833-9026",
            "fax_number": "512-719-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTIE'S HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-833-9026",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.V.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10061344",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014931",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "S500295940",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patience Matthews, NP
• Sarah Matthews
• Sharasa Matthews, LPC
• W. Twelvis T Matthews, O.D.
• Evan Matthysse, D.D.S.
• Kaimi Hideyo Mattila, LCSW-S
• Arthur T. Mattingly, M.D.
• Margaret Mattingly, LPC
• Kelsie Mattis
• Mary B Mattis, LCSW, LCDC

• Home Health Agency in Austin, TX
• Providers in Austin, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.