Active NPI
Matata Group LLC
- Non-emergency Medical Transport (VAN)
- Aldie, VA
National Provider Identifier
1699314013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- MATATA GROUP LLC
- Practice address
- 24707 Capecastle Ter
Aldie, VA 20105-5570 - Phone
- (703) 687-2666
- Fax
- (703) 738-7917
- NPI assigned
- Jan 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Belinda Ahornam Griffin
- Title
- General Manager
- Phone
- (703) 687-2666
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Non-Pharmacy Dispensing Site | 332900000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Transportation Broker | 347E00000X |
Addresses
Primary practice location
24707 Capecastle Ter
Aldie, VA 20105-5570
Mailing address
24707 Capecastle Ter
Aldie, VA 20105-5570
Phone (703) 687-2666
Other names 1
- Matata Group LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Aldie, VA
- NPI 1881235166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577923200000",
"number": "1699314013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24707 CAPECASTLE TER",
"city": "ALDIE",
"state": "VA",
"postal_code": "201055570",
"telephone_number": "703-687-2666",
"fax_number": "703-738-7917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24707 CAPECASTLE TER",
"city": "ALDIE",
"state": "VA",
"postal_code": "201055570",
"telephone_number": "703-687-2666",
"fax_number": "703-738-7917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATATA GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-02",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "BELINDA",
"authorized_official_middle_name": "AHORNAM",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "703-687-2666",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Matata Group LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Aldie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.