Organization Active NPI

Walker Sober Living Community LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
National Provider Identifier
1255029914
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WALKER SOBER LIVING COMMUNITY LLC
Practice address
2544 W Spencer Run
Phoenix, AZ 85041-2926
Phone
(773) 600-4302
NPI assigned
Apr 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Terence Walker
Title
Ceo
Phone
(773) 600-4302

Specialties & licenses 1

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

Addresses

Primary practice location

2544 W Spencer Run
Phoenix, AZ 85041-2926

Mailing address

2544 W Spencer Run
Phoenix, AZ 85041-2926
Phone (773) 600-4302

Other names 1

  • WALKER SOBER LIVING COMMUNITY LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1255029914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 W SPENCER RUN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412926",
            "telephone_number": "773-600-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 W SPENCER RUN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412926",
            "telephone_number": "773-600-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER SOBER LIVING COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-600-4302"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALKER SOBER LIVING COMMUNITY LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.