Organization Active NPI

L.V. Walters Group Homes Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tamarac, FL
National Provider Identifier
1306146238
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
L.V. WALTERS GROUP HOMES INC
Practice address
7422 NW 66TH Ter
Tamarac, FL 33321-5201
Phone
(954) 818-1230
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Mr. Lawrence Elton Walters
Title
President
Phone
(954) 818-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

7422 NW 66TH Ter
Tamarac, FL 33321-5201

Mailing address

7422 NW 66TH Ter
Tamarac, FL 33321-5201
Phone (954) 818-1230

Other identifiers 1

IdentifierTypeStateIssuer
685525396MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1306146238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7422 NW 66TH TER",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215201",
            "telephone_number": "954-818-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7422 NW 66TH TER",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215201",
            "telephone_number": "954-818-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.V. WALTERS GROUP HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ELTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-818-1230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685525396",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.