Walnut House

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WALNUT HOUSE

Practice address

3401 Walnut Ave
Carmichael, CA 95608-3241

Phone

(916) 483-6612

Fax

(916) 483-7134

NPI assigned

Feb 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stuart M Drake

Title

Exec. Administrator

Phone

(916) 483-6612

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083754253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 WALNUT AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083241",
            "telephone_number": "916-483-6612",
            "fax_number": "916-483-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 WALNUT AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083241",
            "telephone_number": "916-483-6612",
            "fax_number": "916-483-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXEC. ADMINISTRATOR",
        "authorized_official_telephone_number": "916-483-6612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RCF00023F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Associates, Inc
• Walgreen Co
• Elisabeth Walker
• Jami Walley
• Walmart Inc.
• Walnut Whitney Care Center, Inc.
• Jill Walsh, M.D.
• Kara Walsh
• Michelle Lynn Walz
• Paul Wang, M.D.

• All providers in Carmichael, CA
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.