Organization Active NPI

Matriarch Community Services

Doing business as Matriarch Community Health Services Corporation

  • Community/Behavioral Health Agency
  • Carrollton, VA
National Provider Identifier
1609643501
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MATRIARCH COMMUNITY SERVICES
Doing business as
Matriarch Community Health Services Corporation
Practice address
13289 Woodlake Dr
Carrollton, VA 23314-3316
Phone
(757) 277-2049
NPI assigned
Dec 11, 2023
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Saran DayNPI 1295502185
Title
President
Phone
(757) 277-2049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

13289 Woodlake Dr
Carrollton, VA 23314-3316

Mailing address

13289 Woodlake Dr
Carrollton, VA 23314-3316
Phone (757) 277-2049

Other names 1

  • Matriarch Community Health Services Corporation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1609643501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13289 WOODLAKE DR",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143316",
            "telephone_number": "757-277-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13289 WOODLAKE DR",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143316",
            "telephone_number": "757-277-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIARCH COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "SARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-277-2049"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matriarch Community Health Services Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.