Walton Healthcare Group, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1873N Issued in OH

Legal business name

WALTON HEALTHCARE GROUP, LLC

Doing business as

Walton Manor Health Care Center

Practice address

19859 Alexander Rd
Walton Hills, OH 44146-5345

Phone

(440) 439-4433

Fax

(440) 439-0691

NPI assigned

Aug 27, 2012

Last updated

Jan 17, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

William I. Weisberg

Title

President

Phone

(216) 292-5706

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Walton Manor Health Care Center Doing business as

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1912255787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225827",
            "telephone_number": "216-292-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19859 ALEXANDER RD",
            "city": "WALTON HILLS",
            "state": "OH",
            "postal_code": "441465345",
            "telephone_number": "440-439-4433",
            "fax_number": "440-439-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON HEALTHCARE GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2012-08-27",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1873N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071310",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walton Manor Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PDN Options for Quality Care
• Donte Shaka
• Lamar Dwayne Thomas Jr.
• Viaquest Healthcare Central (Walton)
• Brenda Joy Walker I, LPTA

• Skilled Nursing Facility in Walton Hills, OH
• Providers in Walton Hills, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.