ST WALTER LLC (NPI# 1154880748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154880748 |
| Entity Type | Organization |
| Organization Name | ST WALTER LLC |
| Practice Address |
8650 S Los Feliz Dr Tempe AZ 85284-2583 |
| Mailing Address |
840 E Canyon Way Chandler AZ 85249-5348 |
| Practice Telephone | 4807309110 |
| Practice Fax Number | 4807757713 |
| Mailing Telephone | 4803265143 |
| Mailing Fax Number | 4807757713 |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | ANNA MANALO (CEO) |
| Authorized Official Telephone | 4803265143 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| ST WALTER GROUP HOME | Doing Business As Name - Organization |
| Street Address |
8650 S LOS FELIZ DR |
| City | TEMPE |
| State | AZ |
| Zip Code | 85284-2583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275187726 | Satbir Khara | Dentist | 2010 E. Elliot Rd. Suite 105, Tempe, AZ 85284 | 2019-08-01 |
| 1093287187 | Tawnie C Caracci | Registered Nurse | 1437 W. Auto Drive, Tempe, AZ 85284 | 2018-12-30 |
| 1932695947 | Angels of Mercy Attendant Care LLC | In Home Supportive Care | 130 W Freda Rd, Tempe, AZ 85284 | 2018-07-03 |
| 1487169009 | Restorative Healing and Counseling Center LLC | Clinic/Center | 9855 S. Priest Drive, Suite 102, Tempe, AZ 85284 | 2017-12-05 |
| 1366964934 | Devoted Guardians Home Health LLC | Home Health | 1705 West Ruby Drive, #107, Tempe, AZ 85284 | 2017-07-14 |
| 1982134565 | Otilia Elizabeth Herrera Jaimes | Specialist/Technologist | 315 W. Elliot Road #107-250, Tempe, AZ 85284 | 2017-06-15 |
| 1982142873 | Tempe Outpatient Treatment Center LLC | Clinic/Center | 1001 E Warner Rd Ste 103, Tempe, AZ 85284 | 2017-02-10 |
| 1386180560 | Jenna Bernal | Registered Nurse | 931 E Elliot Rd Ste 115, Tempe, AZ 85284 | 2017-01-12 |
| 1780084533 | Mirvat Farah | Specialist/Technologist | 341 W El Freda Rd, Tempe, AZ 85284 | 2014-08-29 |
| 1245661503 | Janine L Roberts | Registered Nurse | 2033 E Warner Rd #109, Tempe, AZ 85284 | 2013-12-11 |
| Find all providers in zip 85284 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560188 | Western Canal Healthcare, Inc. | Assisted Living Facility | 601 E Westchester Dr, Tempe, AZ 85283-2939 | 2020-05-27 |
| 1023658739 | Carolyn P Yee | Assisted Living Facility | 2519 E Riviera Dr, Tempe, AZ 85282-6044 | 2020-01-10 |
| 1811557986 | Martha Anns Rainbow House LLC | Assisted Living Facility | 2638 S Holbrook Ln, Tempe, AZ 85282-2940 | 2019-06-19 |
| 1316470669 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1610 E Guadalupe Rd, Tempe, AZ 85283-3938 | 2017-04-04 |
| 1952764102 | Josephine Tang | Assisted Living Facility | 6622 S Dorsey Ln, Tempe, AZ 85283-4170 | 2016-04-04 |
| 1538557095 | Divine Mercy Adult Care | Assisted Living Facility | 6208 S Parkside Dr, Tempe, AZ 85283-2639 | 2015-01-06 |
| 1407253685 | Happy Foster Family Adult Care Home, LLC | Assisted Living Facility | 2421 E Cairo Dr, Tempe, AZ 85282-4112 | 2014-12-03 |
| 1164866273 | Cayer Family Assisted Living Services, Inc | Assisted Living Facility | 1000 E Manhatton Dr, Tempe, AZ 85282-5522 | 2013-04-19 |
| 1659657286 | Tempe Operations, LLC | Assisted Living Facility | 1875 E Guadalupe Rd, Tempe, AZ 85283-3416 | 2011-10-27 |
| 1538221700 | Volunteers of America Care Facilities | Assisted Living Facility | 6150 S Rural Rd, Tempe, AZ 85283-2943 | 2006-12-14 |
| Find all providers in TEMPE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.