Walnut Grove Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WALNUT GROVE SERVICES, LLC

Doing business as

Amada Senior Care Cleveland

Practice address

56 Milford Dr Ste 408
Hudson, OH 44236-2771

Phone

(216) 304-5200

Fax

(216) 304-5401

NPI assigned

Jan 18, 2021

Organization subpart

No

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

Authorized official

Name

John S. Gulas

Title

President/Owner

Phone

(216) 304-5200

Specialties & licenses 1

Addresses

Other names 1

• Amada Senior Care Cleveland Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1386233955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MILFORD DR STE 408",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362771",
            "telephone_number": "216-304-5200",
            "fax_number": "216-304-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MILFORD DR STE 408",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362771",
            "telephone_number": "216-304-5200",
            "fax_number": "216-304-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT GROVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "GULAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "216-304-5200"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.g@amadaseniorcare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "56 Milford Dr Ste 408",
            "city": "Hudson",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442362771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amada Senior Care Cleveland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Callie Voorman
• Kelly Ann Wade, M.A., CCC-SLP
• Terry John Wagner, D.O.
• Stefanie Walker
• Mary Catherine Wallen
• Don Wang, CRC
• Li Wang
• Kaitlyn Wattley, CNP
• Raymond H Wawrowski, PA-C
• Amanda Theresa Weatherbee, PT, DPT

• In Home Supportive Care Agency in Hudson, OH
• Providers in Hudson, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.