Walsh Pcah LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WALSH PCAH LLC

Doing business as

Preferred Care at Home of Champlain Valley

Practice address

138 Church St Apt 6
Burlington, VT 05401-4450

Phone

(802) 383-6333

NPI assigned

Feb 11, 2025

Organization subpart

No

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

Authorized official

Name

Justin Ballard

Title

Owner

Phone

(802) 383-6333

Specialties & licenses 1

Addresses

Other names 1

• Preferred Care at Home of Champlain Valley Doing business as

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1801601364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 ALLEN RD",
            "city": "GEORGIA",
            "state": "VT",
            "postal_code": "054784497",
            "telephone_number": "802-383-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CHURCH ST APT 6",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014450",
            "telephone_number": "802-383-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSH PCAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-383-6333"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Care at Home of Champlain Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harold James Wallace III, M.D.
• Jessica Lynn Wallace, LPN
• Morgan Roisin Wallace
• Allison Walling
• Marina Wallman
• Katherine Anne Walsh, MD
• Liam Walsh
• Ryan Robert Walsh
• Joyce A. Walsleben, PH.D
• Sarah J Walther, MS

• In Home Supportive Care Agency in Burlington, VT
• Providers in Burlington, VT by specialty
• In Home Supportive Care Agency in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.