The Wall Assoc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THE WALL ASSOC.

Doing business as

The wall assoc

Practice address

845 East 78TH Street
Anex BLDG
Kansas City, KS 64131

Phone

(612) 730-3024

NPI assigned

Oct 8, 2015

Last updated

Oct 8, 2015By 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

Maureena M Summers, BA SOC

Title

Admin

Phone

(612) 730-3024

Specialties & licenses 1

Addresses

Other names 1

• The wall assoc Doing business as

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1578934113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 E 78TH ST",
            "address_2": "ANNEX BLDG",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641312096",
            "telephone_number": "612-730-3024",
            "fax_number": "913-257-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 EAST 78TH STREET",
            "address_2": "ANEX BLDG",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "64131",
            "telephone_number": "612-730-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WALL ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "MAUREENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "612-730-3024",
        "authorized_official_credential": "BA SOC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The wall assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.