Matgloco Minisries

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

68076557 Issued in MI

Legal business name

MATGLOCO MINISRIES

Practice address

24609 S Lakeview CT
Apt 202
Farmington Hills, MI 48335-2457

Phone

(313) 400-4456

NPI assigned

Nov 4, 2013

Last updated

Nov 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matt Pearson

Title

President/Ceo

Phone

(313) 400-4456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1659700219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24609 S LAKEVIEW CT",
            "address_2": "APT 202",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352457",
            "telephone_number": "313-400-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24609 S LAKEVIEW CT",
            "address_2": "APT 202",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352457",
            "telephone_number": "313-400-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATGLOCO MINISRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "313-400-4456",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": "68076557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Matamoros
• Hainite Matangi
• Amber Matejovitz
• Mwai Matengula
• Esquiver Mateo Bautista
• Aleeza Mathaj
• Shawn Matharu, DO
• Carlos Matheney
• Joshua Matheney
• Jessica Mather

• In Home Supportive Care Agency in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.