Healthcare Provider Details

I. General information

NPI: 1821954389
Provider Name (Legal Business Name): MATCH POINT BIRMINGHAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 TRADE CENTER DR STE A
BIRMINGHAM AL
35244-1690
US

IV. Provider business mailing address

2 CORPUS CHRISTIE PL STE 101
HILTON HEAD SC
29928-1718
US

V. Phone/Fax

Practice location:
  • Phone: 205-287-0555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MARK PIEGZA
Title or Position: OWNER
Credential:
Phone: 843-310-1078