Provider Demographics
NPI:1285323071
Name:MATRIX CARE SERVICES LLC
Entity type:Organization
Organization Name:MATRIX CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SULEIMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-666-2846
Mailing Address - Street 1:17277 VENTURA BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-4065
Mailing Address - Country:US
Mailing Address - Phone:800-666-2846
Mailing Address - Fax:310-822-6505
Practice Address - Street 1:17277 VENTURA BLVD STE 203
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-4065
Practice Address - Country:US
Practice Address - Phone:800-666-2846
Practice Address - Fax:310-822-6505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management