2ND CENTURY – NPI #1588268932
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

2ND CENTURY is a substance abuse rehabilitation facility located in MILWAUKEE, WI. NPPES has assigned the NPI number 1588268932 to 2ND CENTURY on November 25, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “2ND CENTURY” is a dba name, the actual legal business name for this organization is MATT TALBOT RECOVERY SERVICES, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 5 years ago on Dec 09, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 2ND CENTURY below.

NPI Profile for
MATT TALBOT RECOVERY SERVICES, INC.

NPI Number
1588268932
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MATT TALBOT RECOVERY SERVICES, INC.
Doing Business As (dba): 2ND CENTURY
Primary location
2187 S 85TH ST
MILWAUKEE, WI 53227-1747
Phone: (414) 321-5936 Fax: (414) 321-5935
Mailing address
2819 W HIGHLAND BLVD
MILWAUKEE, WI 53208-3217
Phone: (414) 939-7145 Fax: (414) 321-5935
Organization Subpart
No
Authorized Official
KARL RAJANI
CEO
Phone: (414) 301-6381
Updated
Certification Date
Dec 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
251S00000X
- Community/Behavioral Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.