Walnut Holdings, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WALNUT HOLDINGS, LLC

Doing business as

Desert Blossom Health & Rehabilitation Center

Practice address

60 S 58TH St
Mesa, AZ 85206-1507

Phone

(480) 832-3903

Fax

(480) 981-0963

NPI assigned

Nov 10, 2010

Last updated

Jun 5, 2014By 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

Mr. Paul Hubbard

Title

Manager

Phone

(760) 471-0388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Desert Blossom Health & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1326349093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 S 58TH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061507",
            "telephone_number": "480-832-3903",
            "fax_number": "480-981-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S 58TH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061507",
            "telephone_number": "480-832-3903",
            "fax_number": "480-981-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-471-0388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598814",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Blossom Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walmart Inc. (Walmart Pharmacy 10-2482)
• Walmart Stores, Inc. (Vision Center 30-2767)
• Walmart Stores, Inc. (Vision Center 30-2768)
• Walmart, Inc.
• Diana Hwayoung Yoon Walneck, PHARMD
• Katie Jeanne Walsh, DNP, PMHNP-BC
• Logan Craig Walter, D.O.
• Nancy Lynn Walters, CCC-SLP
• Jory Walthour, CSMS, ACSM-EP
• Aileen Katherine Walton, PT

• Skilled Nursing Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.