MATT TALBOT RECOVERY SERVICES, INC.
NPI 1174992895
Substance Abuse Rehabilitation Facility in Milwaukee, WI

Active since September 23, 2015CLIA 52D2153559 · Waiver
2613 W NORTH AVE, MILWAUKEE, WI 53205(414) 342-5474(414) 342-5476 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matt Talbot Recovery Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATT TALBOT RECOVERY SERVICES, INC. (NPI 1174992895) is a healthcare organization registered as a substance abuse rehabilitation facility in Milwaukee, Wisconsin and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Antoneo Deshazor, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1174992895
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMATT TALBOT RECOVERY SERVICES, INC.
Location Address2613 W NORTH AVEMilwaukee, WI 53205-1056
Mailing Address2613 W North AveMilwaukee, WI 53205-1056 · (414) 342-5474 · Fax (414) 342-5476
Fax(414) 342-5476
Organization SubpartNo
Authorized OfficialAntoneo DeshazorExecutive Director · (414) 793-3896
Enumeration DateSeptember 23, 2015
NPI 1174992895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2613 W NORTH AVE, Milwaukee, WI 53205

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2153559

Matt Talbot Recovery Services, Inc · Milwaukee, WI
Active · expires Aug 27, 2026
CLIA Number52D2153559
Laboratory TypeCbrf
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorDr. Neville Duncan
Laboratory Phone(414) 342-5474
Laboratory LocationMatt Talbot Recovery Services, Inc2613 W North Ave, Milwaukee, WI 53210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matt Talbot Recovery Services, Inc.'s NPI number?

The NPI number for Matt Talbot Recovery Services, Inc. is 1174992895. It was assigned to this organization in the NPPES registry on September 23, 2015.

Where is Matt Talbot Recovery Services, Inc. located?

Matt Talbot Recovery Services, Inc. is located at 2613 W North Ave, Milwaukee, WI 53205. The listed phone number is (414) 342-5474.

What is Matt Talbot Recovery Services, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Matt Talbot Recovery Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2153559) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Matt Talbot Recovery Services, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Matt Talbot Recovery Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matt Talbot Recovery Services, Inc. was last updated on September 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.