TMJ Family Home, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

TMJ FAMILY HOME, LLC

Practice address

6475 N 87TH St
Milwaukee, WI 53224-5437

Phone

(414) 897-3457

Fax

(414) 206-0256

NPI assigned

Nov 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tynisha McWright, NURSE PRACTITIONERNPI 1346700820

Title

Owner

Phone

(414) 897-3457

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tynisha L McWright, NP

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1346700820
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1104649144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 N 87TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532245437",
            "telephone_number": "414-897-3457",
            "fax_number": "414-206-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 N 87TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532245437",
            "telephone_number": "414-897-3457",
            "fax_number": "414-206-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMJ FAMILY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "MCWRIGHT",
        "authorized_official_first_name": "TYNISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-897-3457",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.