Provider Demographics
NPI:1659885051
Name:MATELDA HEALTHCARE SERVICES,LLC
Entity Type:Organization
Organization Name:MATELDA HEALTHCARE SERVICES,LLC
Other - Org Name:MATELDA HEALTHCARE SERVICES,LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:BIAWO
Authorized Official - Last Name:DIAMA
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:214-886-7170
Mailing Address - Street 1:11840 TOPPELL TRL
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-1508
Mailing Address - Country:US
Mailing Address - Phone:214-886-7170
Mailing Address - Fax:
Practice Address - Street 1:11840 TOPPELL TRL
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-1508
Practice Address - Country:US
Practice Address - Phone:214-886-7170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health