Organization Active NPI

Walk in and Win, LLC

  • Substance Abuse Rehabilitation Facility
  • Covina, CA
National Provider Identifier
1225740046
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WALK IN AND WIN, LLC
Practice address
15826 E Queenside Dr
Covina, CA 91722-2227
Phone
(657) 263-4998
NPI assigned
Dec 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Jeffrey Conroy
Title
Administrator
Phone
(949) 280-8360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

15826 E Queenside Dr
Covina, CA 91722-2227

Mailing address

15826 E Queenside Dr
Covina, CA 91722-2227
Phone (949) 280-8360

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tifarrah@4element5.com Direct
Direct Messaging Address jeff@templerecovery.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1225740046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15826 E QUEENSIDE DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222227",
            "telephone_number": "949-280-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15826 E QUEENSIDE DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222227",
            "telephone_number": "657-263-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK IN AND WIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-280-8360"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tifarrah@4element5.com",
            "affiliation": "N",
            "endpointDescription": "Corp Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "15826 E Queenside Dr",
            "city": "Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917222227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeff@templerecovery.com",
            "affiliation": "N",
            "endpointDescription": "admin email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15826 E Queenside Dr",
            "city": "Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917222227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.