NPIMap

Organization Active NPI

Matrix Home Care LLC

  • Attendant Care Provider
  • West Palm Beach, FL
National Provider Identifier
1538429477
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
MATRIX HOME CARE LLC
Practice address
1800 S Australian Ave Ste 350
West Palm Beach, FL 33409-6457
Phone
(561) 367-1019
Fax
(561) 395-3603
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Ms. Pernille Ostberg
Title
Ceo
Phone
(561) 471-2992

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299991418 FL
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

1800 S Australian Ave Ste 350
West Palm Beach, FL 33409-6457

Mailing address

1800 S Australian Ave Ste 350
West Palm Beach, FL 33409-6457
Phone (561) 471-2998

Other identifiers 1

IdentifierTypeStateIssuer
299991418OtherFLAHCA LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121009000137 FL Part A Provider - Home Health Agency 1456517580 Practice locations: West Palm Beach, FL

Home health agency certification: CCN 683103

Legal name
MATRIX HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 13, 2013
Last certification
Mar 23, 2016
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1800 S Australian Ave
Ste 350
West Palm Beach, FL 33409-6457
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Matrix Home Care LLCCCN 683103
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Jun 13, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Matrix Home Care LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1800 S Australian Ave
Ste 350
West Palm Beach, FL 33409
Phone (561) 471-2992

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Janice Williams Individual Corporate OfficerVP Oct 21, 1999
W-2 Managing EmployeeVP Oct 21, 1999 4%
Matrix Care LLC Organization, West Palm Beach, FL LLC, Chain home office 5% Or Greater Direct Ownership Interest Nov 17, 1999 100%
Pernille Ostberg Individual Corporate OfficerCeo President Oct 21, 1999 96%
Corporate DirectorCeo President Oct 21, 1999 96%
W-2 Managing Employee Oct 21, 1999 96%
Operational/Managerial ControlCeo President Oct 21, 1999

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1538429477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S AUSTRALIAN AVE STE 350",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096457",
            "telephone_number": "561-471-2998",
            "fax_number": "561-471-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S AUSTRALIAN AVE STE 350",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096457",
            "telephone_number": "561-367-1019",
            "fax_number": "561-395-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "OSTBERG",
        "authorized_official_first_name": "PERNILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-471-2992",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991418",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "299991418",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.