JOHN WALLACE
NPI 1053126706
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ralston, NE

Q: What is John Wallace's NPI number?

The NPI number for John Wallace is 1053126706. It was assigned to this individual provider in the NPPES registry on February 10, 2025.

Q: What is John Wallace's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for John Wallace was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 10, 2025

6732 S 73RD STREET CIR, RALSTON, NE 68127(531) 772-8700 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About John Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN WALLACE (NPI 1053126706) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Ralston, Nebraska and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1053126706

Entity TypeIndividualMale

Primary Taxonomy320900000X

Provider Legal NameJOHN WALLACE

Location Address6732 S 73RD STREET CIRRalston, NE 68127-4387

Mailing Address6732 S 73rd Street CirRalston, NE 68127-4387 · (531) 772-8700

Phone(531) 772-8700

Sole ProprietorYes

Enumeration DateFebruary 10, 2025

Last NPPES UpdateFebruary 11, 2025

NPPES CertifiedFebruary 11, 2025

✔ NPI 1053126706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

6732 S 73RD STREET CIR, Ralston, NE 68127

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Wallace's NPI number?

The NPI number for John Wallace is 1053126706. It was assigned to this individual provider in the NPPES registry on February 10, 2025.

Where is John Wallace located?

John Wallace practices at 6732 S 73rd Street Cir, Ralston, NE 68127. The listed phone number is (531) 772-8700.

What is John Wallace's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for John Wallace was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.