NPIMap

Organization Active NPI

Matrix Psychiatric Home Care

  • Nursing Care Agency
  • Fenton, MO
National Provider Identifier
1770726697
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
132832 Issued in MO
Legal business name
MATRIX PSYCHIATRIC HOME CARE
Practice address
1423 Villas Estates Dr
Fenton, MO 63026-3284
Phone
(314) 954-5568
Fax
(636) 825-9568
NPI assigned
Apr 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Ms. Tammie Marie Auer, REGISTERED NURSE
Title
Owner
Phone
(314) 954-5568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 132832 MO Primary

Addresses

Primary practice location

1423 Villas Estates Dr
Fenton, MO 63026-3284

Mailing address

1423 Villas Estates Dr
Fenton, MO 63026-3284
Phone (314) 954-5568

Other names 1

  • Matrix Psychiatric Home And Health Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Matrix Psychiatric Home and Health Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1770726697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 VILLAS ESTATES DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263284",
            "telephone_number": "314-954-5568",
            "fax_number": "636-825-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 VILLAS ESTATES DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263284",
            "telephone_number": "314-954-5568",
            "fax_number": "636-825-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX PSYCHIATRIC HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "AUER",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-954-5568",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": "132832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matrix Psychiatric Home And Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.