MATRIX LLC (NPI# 1376651489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376651489 |
| Entity Type | Organization |
| Organization Name | MATRIX LLC |
| Other Organization Name | METRON SUB ACUTE SERVICES |
| Practice Address |
1603 Momentum Pl Chicago IL 60689-5316 |
| Mailing Address |
3075 Orchard Vista Dr Se Ste. 100 Grand Rapids MI 49546-7069 |
| Practice Telephone | 6169755209 |
| Practice Fax Number | 6165880971 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DIANNE MATEJA (DIRECTOR OF SUB ACUTE SERVICES) |
| Authorized Official Telephone | 6169573957 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | ========= | MI | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Metron Sub Acute Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MATRIX LLC | 514 W Main St # 2, Elma, WA 98541-0348 |
| Street Address |
1603 MOMENTUM PL |
| City | CHICAGO |
| State | IL |
| Zip Code | 60689-5316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568457604 | Robert J Houser | Physician Assistant | 3565 Momentum Pl, Chicago, IL 60689 | 2005-09-14 |
| 1851833420 | Meghan Kelly | Physician Assistant | 2513 Momentum Pl, Chicago, IL 60689 | 2016-11-14 |
| 1124401179 | Omni Youth Services, Inc. | Clinic/Center | 1111 W Lake Cook Rd, Buffalo Grove, IL 60689 | 2015-07-08 |
| 1457881682 | Jennifer J Rogulic | Registered Nurse | 3461 Momentum Pl, Chicago, IL 60689-0001 | 2017-06-20 |
| 1417195421 | Robin A Williams | Dietitian, Registered | 2063 Momentum Pl, Chicago, IL 60689-0001 | 2009-01-29 |
| 1073535845 | Gary Gray Physical Therapy Clinic Inc. | Occupational Therapist | 2408 Momentum Pl, Chicago, IL 60689-0001 | 2006-07-24 |
| 1023064144 | Eastern Iowa Therapeutics PC | Physical Therapist | 2406 Momentum Pl, Chicago, IL 60689-0001 | 2006-05-26 |
| 1851812788 | Jessica Sefton | Physician Assistant | 3461 Momentum Pl, Chicago, IL 60689-0001 | 2017-06-30 |
| 1306873377 | Pri Diagnostics, LLC. | Clinic/Center | 1456 Momentum Pl, Chicago, IL 60689-5314 | 2006-06-27 |
| 1588118285 | Elishba Sinha | Nurse Practitioner | 2447 Momentum Pl, Chicago, IL 60689-5325 | 2016-08-10 |
| Find all providers in zip 60689 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053812974 | Alden Estates-courts of Huntley, Inc. | Skilled Nursing Facility | 4200 W Peterson Ave Ste 140, Chicago, IL 60646-6819 | 2018-02-26 |
| 1194271825 | Veronica Mack | Skilled Nursing Facility | 9738 S Merrion Ave, Chicago, IL 60617-4846 | 2016-09-01 |
| 1982050886 | Bernadette Aguilar | Skilled Nursing Facility | 125 S Green St, Unit 808a, Chicago, IL 60607-3197 | 2016-05-10 |
| 1720445539 | Maria Callahan | Skilled Nursing Facility | 1839 S Prairie Pkwy, Chicago, IL 60616-4389 | 2016-01-25 |
| 1265856710 | Royal Staff Inc | Skilled Nursing Facility | 10934 S Beverly Ave, Chicago, IL 60643-3752 | 2014-02-04 |
| 1114355336 | Mobile Anesthesiologist | Skilled Nursing Facility | 8420 Bryn Mawr, Chicago, IL 60631 | 2013-10-25 |
| 1821439738 | Mercy Circle | Skilled Nursing Facility | 3659 W. 99th Street, Chicago, IL 60655 | 2013-07-09 |
| 1982946604 | Admiral At The Lake | Skilled Nursing Facility | 933 W. Foster Ave, Chicago, IL 60640 | 2013-03-20 |
| 1730447566 | Sound Imaging Inc. | Skilled Nursing Facility | 6970 N Mcalpin Ave, Chicago, IL 60646-1141 | 2012-04-30 |
| 1821355561 | Ltc Practitioners of Illinois | Skilled Nursing Facility | 3915 N. Kenneth Ave., Chicago, IL 60641-2816 | 2012-04-19 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.