Walnut Creek Al Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WALNUT CREEK AL OPCO LLC

Doing business as

Walnut Creek Care Community

Practice address

2501 Keystone Club Dr
Kettering, OH 45439-4223

Phone

(330) 620-7828

NPI assigned

Apr 30, 2024

Last updated

Dec 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Degyansky

Title

VP of Operations

Phone

(330) 620-7828

Specialties & licenses 1

Addresses

Other names 1

• Walnut Creek Care Community Doing business as

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1154178028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 LANDERBROOK DR STE 150",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KEYSTONE CLUB DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454394223",
            "telephone_number": "330-620-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT CREEK AL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "DEGYANSKY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "330-620-7828"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Creek Care Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walgreen Co (Walgreens #04639)
• Cha ' Tayvia Lynn Walker
• Megan Beth Walker, MS, RN, CPNP
• Anthony Chase Wallace
• Brittney A Wallace, CRNA
• Phyllis Kuehnl Walters, PHD
• Rebekah May Wang-Cheng, MD
• Brandon Demarco Ward
• Julia Ward, PT, DPT
• Sandra Sue Ward, CRNA

• Assisted Living Facility in Kettering, OH
• Providers in Kettering, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.