Wall Residences, LLC
Wall Residences, LLC is a healthcare organization registered as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Floyd, VA, holding Type 2 (organization) NPI 1063436723 since 2006. The authorized official on file is Jack Wall, Executive Director.
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| NPI | 1063436723 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wall Residences, LLC |
| Practice address | 1281 HUCKLEBERRY RIDGE RD NE, Floyd, VA, 24091 |
| Phone | 5407454216 |
| Fax | 5407455367 |
| Enumeration date | 2006-07-27 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Jack Wall |
|---|---|
| Title | Executive Director |
| Phone | 5407454216 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Primary | 071-01-001 | VA |
Copy-ready billing details
Provider: Wall Residences, LLC NPI: 1063436723 Taxonomy: 320900000X (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) Address: 1281 HUCKLEBERRY RIDGE RD NE, Floyd, VA, 24091
Verify this record
Cross-check NPI 1063436723 against the authoritative CMS record: view Wall Residences, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Wall Residences, LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.