NPIMap

Organization Active NPI

Matrix Home Care LLC

  • Attendant Care Provider
  • Brandon, FL
National Provider Identifier
1750509147
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
1447 Oakfield Dr
Brandon, FL 33511-4854
Phone
(813) 661-7100
Fax
(813) 661-7155
NPI assigned
Apr 23, 2007
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, RPH
Title
Ceo
Phone
(561) 471-2992

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992036 FL
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

1447 Oakfield Dr
Brandon, FL 33511-4854

Mailing address

1800 S Australian Ave Ste 350
West Palm Beach, FL 33409-6457
Phone (561) 471-2992

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120718000292 FL Part A Provider - Home Health Agency 1456517580 Practice locations: Brandon, FL

Home health agency certification: CCN 103161

Legal name
MATRIX HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 14, 2013
Last certification
Feb 26, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1447 Oakfield Dr
Brandon, FL 33511-4854

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 103161 · All quality measures
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Jan 14, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, 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

1421 Oakfield Dr
Brandon, FL 33511
Phone (941) 752-0808

4801 S University Dr
Ste 302
Davie, FL 33328

2307 S Douglas Rd
Ste 502
Miami, FL 33145
Phone (305) 567-2614

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Hildelisa Rivera Individual W-2 Managing Employee Aug 10, 2014
Janice Williams Individual Corporate DirectorVP Oct 21, 1999
Matrix Care LLC Organization, West Palm Beach, FL Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Oct 21, 1999 100%
Pernille Ostberg Individual Corporate OfficerCeo President Oct 21, 1999
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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1750509147",
    "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": "561-471-2992",
            "fax_number": "561-471-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114854",
            "telephone_number": "813-661-7100",
            "fax_number": "813-661-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "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.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992036",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.