Matrixx Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MATRIXX HEALTHCARE LLC

Practice address

522 S Independence Blvd Ste 204
Virginia BCH, VA 23452-1149

Phone

(757) 756-4222

Fax

(757) 756-4423

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Shantel Covil

Title

Ceo

Phone

(757) 756-4422

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1801387808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S INDEPENDENCE BLVD STE 204",
            "city": "VIRGINIA BCH",
            "state": "VA",
            "postal_code": "234521149",
            "telephone_number": "757-756-4222",
            "fax_number": "757-756-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S INDEPENDENCE BLVD STE 204",
            "city": "VIRGINIA BCH",
            "state": "VA",
            "postal_code": "234521149",
            "telephone_number": "757-756-4222",
            "fax_number": "757-756-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIXX HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "COVIL",
        "authorized_official_first_name": "SHANTEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-756-4422",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.