Walla Investment LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

WALLA INVESTMENT LLC

Doing business as

Wala Health Transport

Practice address

3634 Citadel Dr N Unit a
Colorado Springs, CO 80909-5312

Phone

(720) 206-4824

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

Khamis T AbuzeriqNPI 1669955761

Title

Owner

Phone

(720) 206-4824

Specialties & licenses 1

Addresses

Other names 1

• Wala Health Transport Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khamis Twfiq Khamis Abuzeriq I

  • Driver
  • Colorado Springs, CO
  • NPI 1669955761
  NPD Authorized official

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1750058525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25070",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809365070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 CITADEL DR N UNIT A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095312",
            "telephone_number": "720-206-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLA INVESTMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "ABUZERIQ",
        "authorized_official_first_name": "KHAMIS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-206-4824"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wala Health Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy R Walker, PMHNP
• Erin Gail Walkley, PA-C
• Amy K Wall, NP
• Jillyn Wall, LMT
• Richard Allen Wall, M.D.
• Ashli Keanan Wallace
• Bethany Ann Wallace, DO
• Bradley Wallace, M.D.
• Camille N Wallace, OTD, OTR/L
• Emily Anne Wallace, RBT

• Non-emergency Medical Transport (VAN) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Non-emergency Medical Transport (VAN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.