Provider Demographics
NPI:1447481080
Name:MATRIX ENTERPRISES, LLC
Entity type:Organization
Organization Name:MATRIX ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-318-2014
Mailing Address - Street 1:8321 E IOWA DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2705
Mailing Address - Country:US
Mailing Address - Phone:720-318-2014
Mailing Address - Fax:303-923-3285
Practice Address - Street 1:8321 E IOWA DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2705
Practice Address - Country:US
Practice Address - Phone:720-318-2014
Practice Address - Fax:303-923-3285
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:N/A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health