NPIMap

Organization Active NPI

Matrix Human Services

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1821325176
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MATRIX HUMAN SERVICES
Practice address
450 Eliot
Detroit, MI 48201-2130
Phone
(313) 831-8650
Fax
(313) 831-3611
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Mr. Brad Coulture
Title
C.E.O.
Phone
(313) 831-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X MI Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

450 Eliot
Detroit, MI 48201-2130

Mailing address

120 Parsons Street
Detroit, MI 48201-2002
Phone (313) 831-1000

National Provider Directory

National Provider Directory
Tax ID family
Matrix Human Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1821325176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PARSONS STREET",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012002",
            "telephone_number": "313-831-1000",
            "fax_number": "313-831-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ELIOT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012130",
            "telephone_number": "313-831-8650",
            "fax_number": "313-831-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "COULTURE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "313-831-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.