St Walter Group Home LLC
NPI 1063093623ActiveOrganization· Assisted Living Facility· Tempe, AZ
Assisted Living Facility in Tempe, Arizona, registered in NPPES in April 2021. The authorized official on file is Welyn Mormino, Administrator.
Overview
| NPI | 1063093623 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2021 |
| Last updated in NPPES | Apr 15, 2021 |
| Certified by provider | Apr 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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