Wilshire Homes LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILSHIRE HOMES LLC

Practice address

8809 W Wilshire Dr
Phoenix, AZ 85037-3641

Phone

(602) 802-4209

NPI assigned

Jul 30, 2021

Organization subpart

No

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

Authorized official

Name

Janis Ntoukam

Title

Manager

Phone

(602) 802-4209

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1114690468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8809 W WILSHIRE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8809 W WILSHIRE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373641",
            "telephone_number": "602-802-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "NTOUKAM",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-802-4209"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Wilmer, BS
• Michael A Wilmink, MD
• Gabrielle Wilmot
• Margaret E Wilmot
• Camille Wilmsen
• Wilson School District
• Wilson School District
• Lashandra A Wilson-Cohen, APRN
• Aaron R. Wilson, M.D.
• Adrienna Denise Wilson

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.