St Walter LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ST WALTER LLC

Doing business as

ST WALTER GROUP HOME

Practice address

8650 S Los Feliz Dr
Tempe, AZ 85284-2583

Phone

(480) 730-9110

Fax

(480) 775-7713

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Anna Manalo, FNP-CNPI 1609205350

Title

Ceo

Phone

(480) 326-5143

Specialties & licenses 1

Addresses

Other names 1

• ST WALTER GROUP HOME Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Manalo, MSN FNP-C

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1609205350
  NPD (past) Authorized official

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1154880748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E CANYON WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495348",
            "telephone_number": "480-326-5143",
            "fax_number": "480-775-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 S LOS FELIZ DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842583",
            "telephone_number": "480-730-9110",
            "fax_number": "480-775-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST WALTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-326-5143",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST WALTER GROUP HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ssa
• St Lukes Medical Center LP
• St Marks Medical
• Robert Bruce St Pierre, M.A. EDUC. COUNSELIN
• St Walter Group Home LLC
• Stability Assist
• Samantha Stacherski
• Stacy K Sledge, MC, LPC, PLLC
• Carina Stafford, MT-BC
• Lynn Stafford, RN

• Assisted Living Facility in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.