Provider Demographics
NPI:1578332862
Name:MATALAU HOME CARE INC
Entity Type:Organization
Organization Name:MATALAU HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-310-1348
Mailing Address - Street 1:533 28TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-2219
Mailing Address - Country:US
Mailing Address - Phone:415-310-1348
Mailing Address - Fax:415-821-2737
Practice Address - Street 1:533 28TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-2219
Practice Address - Country:US
Practice Address - Phone:415-310-1348
Practice Address - Fax:415-821-2737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care