WALL RESIDENCES, LLC (NPI# 1063436723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063436723 |
| Entity Type | Organization |
| Organization Name | WALL RESIDENCES, LLC |
| Practice Address |
1281 Huckleberry Ridge Rd Ne Floyd VA 24091-2037 |
| Practice Telephone | 5407454216 |
| Practice Fax Number | 5407455367 |
| Mailing Telephone | 5407454216 |
| Mailing Fax Number | 5407455367 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JACK WALL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5407454216 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 071-01-001 | VA | Residential Treatment Facilities |
| Street Address |
1281 HUCKLEBERRY RIDGE RD NE |
| City | FLOYD |
| State | VA |
| Zip Code | 24091-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417490145 | Greenecare Counseling LLC | Social Worker | 401 S. Locust St., Ste 102, Floyd, VA 24091 | 2016-11-29 |
| 1144631110 | Eagles Nest Regeneration Inc | Substance Abuse Rehabilitation Facility | 4410 Christianburg Pike Ne, Floyd, VA 24091 | 2014-05-13 |
| 1073854402 | Elise Karen Greene | Social Worker | 401 South Locust Street, Ste 102, Floyd, VA 24091 | 2013-03-11 |
| 1386636041 | Seyed Hessam Saadat | Family Medicine | 140 Christiansburg Pike, Tri-area Community Health Center At Floyd, Floyd, VA 24091 | 2005-08-18 |
| 1043749153 | Caroline Thomsen Egloff | Physical Therapist | 815 E Main St, Floyd, VA 24091 | 2017-06-12 |
| 1578953303 | Amanda Elise Richardson | Physician Assistant | 140 Christiansburg Pike Ne, Floyd, VA 24091 | 2015-02-02 |
| 1194908491 | Tri Area Community Health | Clinic/Center | 140 Christiansburg Pike, Floyd, VA 24091 | 2007-12-10 |
| 1205920592 | Patricia F Fedorchak | Nurse Practitioner | 911 E Main St, Floyd, VA 24091 | 2006-10-03 |
| 1174535207 | Lorraine Marie French | General Practice | 140 Christiansburg Pike, Tri-area Community Health At Floyd, Floyd, VA 24091 | 2006-08-13 |
| 1083625982 | Strengthening Our System Inc | Day Training, Developmentally Disabled Services | 636 Sowers Rd Ne, Floyd, VA 24091-2076 | 2006-08-10 |
| Find all providers in zip 24091 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729213 | Saint Claire Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5601 Seminary Rd Apt 915n, Falls Church, VA 22041-2997 | 2020-10-28 |
| 1780283275 | Great Day Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6606 Gills Gate Pl, Chesterfield, VA 23832-6004 | 2020-10-26 |
| 1306451448 | Nikita S Banks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 | 2020-09-15 |
| 1396359576 | Best Hope Community Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9662 Hawkshead Dr, Lorton, VA 22079-2786 | 2020-09-03 |
| 1609489038 | Viana Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8205 Mockingbird Dr, Annandale, VA 22003-3713 | 2020-08-25 |
| 1770196339 | Jilly Healthcare Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4145 Lenox Dr, Fairfax, VA 22032-1112 | 2020-08-24 |
| 1225640279 | Guardian Angels Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1116 Pin Oak Drive, Suffolk, VA 23434-2343 | 2020-08-20 |
| 1659993079 | Collaborative Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6000 Filbert Ct, Springfield, VA 22152-1609 | 2020-05-07 |
| 1356962252 | Intellectual Services Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4813 Integrity Ct, Fredericksburg, VA 22408-1891 | 2020-05-01 |
| 1699394346 | Peace of Mind Residential Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Pinehurst Ln, Stafford, VA 22554-7288 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
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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.