Provider Demographics
NPI:1750509147
Name:MATRIX HOME CARE LLC
Entity Type:Organization
Organization Name:MATRIX HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PERNILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:561-471-2992
Mailing Address - Street 1:1801 CENTREPARK DR E
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-7422
Mailing Address - Country:US
Mailing Address - Phone:561-471-2992
Mailing Address - Fax:561-471-2998
Practice Address - Street 1:1421 OAKFIELD DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-2801
Practice Address - Country:US
Practice Address - Phone:813-661-7100
Practice Address - Fax:813-661-7155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992036251E00000X
3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No251E00000XAgenciesHome Health