M.a.T.C.H.

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

M.A.T.C.H.

Practice address

2902 N 1St St
Milwaukee, WI 53212-2406

Phone

(414) 372-0739

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Merry Kyles

Title

Onwer

Phone

(414) 372-0739

Specialties & licenses 1

Addresses

Tax ID family

Match2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Match

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Milwaukee, WI
  • NPI 1336205855
  NPD tax ID

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568438265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 N 1ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 N 1ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122406",
            "telephone_number": "414-372-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A.T.C.H.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KYLES",
        "authorized_official_first_name": "MERRY",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "414-372-0739",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M D Therapy LLC
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• M. L. Tharps & Associates LLC
• M.a.B Health Services LLC
• M.C. Preparatory School of Wisconsin Inc
• M&L Transportation, LLC
• Ma Bell'S House of Peace Inc.
• Yongjie Ma
• Diana L Maas, MD

• Assisted Living Facility (Behavioral Disturbances) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Assisted Living Facility (Behavioral Disturbances) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.