Match Point Charleston LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MATCH POINT CHARLESTON LLC

Practice address

498 Wando Park Blvd Ste 200
Mt Pleasant, SC 29464-7904

Phone

(843) 936-2982

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Michael Risk

Title

General Manager

Phone

(843) 936-2982

Specialties & licenses 1

Addresses

Other names 1

• Synergy HomeCare of Charleston Doing business as

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1194394882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 WANDO PARK BLVD STE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647904",
            "telephone_number": "843-936-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 WANDO PARK BLVD STE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647904",
            "telephone_number": "843-936-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATCH POINT CHARLESTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "RISK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "843-936-2982"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of Charleston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.