TAPESTRY TALLAHASSEE WALDEN, LLC (NPI# 1598243016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598243016 |
| Entity Type | Organization |
| Organization Name | TAPESTRY TALLAHASSEE WALDEN, LLC |
| Other Organization Name | TAPESTRY SENIOR LIVING WALDEN |
| Practice Address |
3080 Walden Rd Tallahassee FL 32317-7905 |
| Mailing Address |
2001 Killebrew Dr Ste 100 Minneapolis MN 55425-1884 |
| Practice Telephone | 8506881234 |
| Practice Fax Number | 8503090332 |
| Mailing Telephone | 9528548800 |
| Mailing Fax Number | 9528544434 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Authorized Official Name | TERESA PAWLINA (PRESIDENT/AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 9528548800 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL13190 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AGENCY FOR HEALTH CARE ADMINISTRATION ASSISTED LIVING FACILITY | AL13190 | 01 |
| Other Name | Type Code |
|---|---|
| Tapestry Senior Living Walden | Doing Business As Name - Organization |
| Street Address |
3080 WALDEN RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32317-7905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851786800 | Rosa Irigoyen | Dentist | Ave. De Las Americas #540 Nte., Juarez, CHIHUAHUA 32317 | 2015-04-06 |
| 1326433640 | Daniel Parada | Dentist | Ave. De Las Americas #526 Nte, Suite 2, Juarez, CHIHUAHUA 32317 | 2015-04-02 |
| 1477897676 | Alejandra Preciado | Dentist | Ave. Americas 960-a, Juarez, CHIHUAHUA 32317 | 2012-11-12 |
| 1982977823 | David Holguin | Dentist | Pedro S. Varela 3007, Cd Juarez, CHIHUAHUA 32317 | 2012-02-22 |
| 1124357181 | Pro Dent Rio Bravo S. De R.l De C.v. | Dentist | Av. Abraham Lincoln 201, La Playa, Cd. Juarez, CHIH 32317 | 2009-12-21 |
| 1437327707 | Costco Wholesale Corporation | Pharmacy | 4067 Lagniappe Way, Tallahassee, FL 32317 | 2008-02-20 |
| 1174709521 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4021 Langniappe Way, Tallahassee, FL 32317 | 2008-01-16 |
| 1154944767 | Bertha Erives Dds | Dentist | Pedro S. Varela 3007, 16, Cd Juarez, CHIHUAHUA 32317 | 2020-05-19 |
| 1013387232 | Oscar Ortiz | Dentist | Ave. De Las Americas #540 Nte., Suite 1, Juarez, CHIHUAHUA 32317 | 2015-09-30 |
| 1467810879 | Lindsay Morrell | Nurse Practitioner | 6186 Observation Cir, Tallahassee, FL 32317-0507 | 2016-02-01 |
| Find all providers in zip 32317 | ||||
| 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 |
|---|---|---|---|---|
| 1356962864 | Our Peacehouse LLC | Assisted Living Facility | 1502 W Tharpe St, Tallahassee, FL 32303-4544 | 2020-05-06 |
| 1780176818 | Brittany Johnson | Assisted Living Facility | 4527 Deslin Dr, Tallahassee, FL 32305-7493 | 2018-06-04 |
| 1487199840 | Tallahassee Nhhi, LLC | Assisted Living Facility | 2516 Lakeshore Dr, Tallahassee, FL 32312-2104 | 2016-12-21 |
| 1912330424 | Extended Care Portfolio Tenant, LLC | Assisted Living Facility | 3207 N Monroe St, Tallahassee, FL 32303-2832 | 2013-08-20 |
| 1215374731 | Linda Williams | Assisted Living Facility | 2069 Dellwood Dr, Tallahassee, FL 32303-4817 | 2013-05-23 |
| 1902108418 | Eldercare Services of Tallahassee | Assisted Living Facility | 2507 Old Saint Augustine Rd, Tallahassee, FL 32301-6209 | 2010-12-03 |
| 1538313416 | La Grand Belle Estates | Assisted Living Facility | 5898 Orchard Pond Rd, Tallahassee, FL 32303-8200 | 2008-11-05 |
| 1538367388 | Catherine's House, Inc. | Assisted Living Facility | 6595 Damon Cir, Tallahassee, FL 32304-8706 | 2007-07-03 |
| 1548681802 | Harborchase of Tallahassee, Inc. | Assisted Living Facility | 100 John Knox Rd, Tallahassee, FL 32303-6673 | 2014-01-03 |
| 1669729406 | Columbia Crest Construction, LLC | Assisted Living Facility | 3909 Reserve Dr, Ste 2818, Tallahassee, FL 32311-8200 | 2012-08-11 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32317 |
Please comment or provide details below to improve the information on TAPESTRY TALLAHASSEE WALDEN, LLC.
| 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.