Matrix Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MATRIX HOME CARE LLC

Practice address

1015 E Broad St Ste a
Columbus, OH 43205-1370

Phone

(614) 822-9055

NPI assigned

May 23, 2019

Last updated

Sep 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harshil Maniar

Title

Ceo

Phone

(614) 914-6611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871150920. Details of each certification follow.

• CCN 369268 Home health agency · Active · Details

Home health agency certification: CCN 369268

Legal name

MATRIX HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 23, 2021

Last certification

Mar 23, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 12, 2019 in OH

Enrollment address

1015 E Broad St
Ste a
Columbus, OH 43205-1370

Listed as

Matrix Home Care LLCCCN 369268 · All quality measures

Ownership

Proprietary

Certified

Mar 23, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

Tax ID family

Matrix Home Care LLC2 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.

• Matrix Home Care LLC

  • Home Health Agency
  • Columbus, OH
  • NPI 1326829813
  NPD tax ID

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1871150920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E BROAD ST STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051370",
            "telephone_number": "614-822-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E BROAD ST STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051370",
            "telephone_number": "614-822-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "MANIAR",
        "authorized_official_first_name": "HARSHIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-914-6611"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Lee Matlock
• Shawna Marie Matney, NP
• Janine Matos Chevere, DDS
• Dana Marie Matos I, LPN
• Matrix Home Care LLC
• Matrix Integrated Psychological Services (Matrix Psychological Services)
• Laura A Matrka, M.D.
• Todd G Matros, M.D.
• Eleftheria Matsa, MD
• Steven Charles Matson, M.D.

• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.