Organization Active NPI

WM 90 MC LLC

  • Assisted Living Facility
  • Cincinnati, OH
National Provider Identifier
1477474443
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WM 90 MC LLC
Practice address
1410 Mallard Cove Dr
Cincinnati, OH 45246-3920
Phone
(513) 772-6655
NPI assigned
Jul 23, 2026
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Tyler Brady
Title
Cfo
Phone
(314) 440-2781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1410 Mallard Cove Dr
Cincinnati, OH 45246-3920

Mailing address

319 N 4TH St Ste 800
Saint Louis, MO 63102-1935

National Provider Directory

National Provider Directory

Locations

319 N 4th St
Ste 800
Saint Louis, MO 63102

NPI Registry JSON

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

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1477474443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N 4TH ST STE 800",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631021935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 MALLARD COVE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463920",
            "telephone_number": "513-772-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM 90 MC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-440-2781"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.