NPIMap

Organization Active NPI

Wiggins Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Porterville, CA
National Provider Identifier
1184985665
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
040000394 Issued in CA
Legal business name
WIGGINS HOMES
Practice address
1562 Clare Ave
Porterville, CA 93257-4320
Phone
(559) 783-0734
Fax
(559) 781-7929
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Elysia M Boyd
Title
Lead Manager
Phone
(559) 350-0141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 040000394 CA Primary

Addresses

Primary practice location

1562 Clare Ave
Porterville, CA 93257-4320

Mailing address

2487 Crickelwood CT
Porterville, CA 93257-6944
Phone (559) 350-0141

National Provider Directory

National Provider Directory
Tax ID family
Wiggins Homes3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1184985665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 CRICKELWOOD CT",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932576944",
            "telephone_number": "559-350-0141",
            "fax_number": "559-789-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 CLARE AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932574320",
            "telephone_number": "559-783-0734",
            "fax_number": "559-781-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGGINS HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "ELYSIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LEAD MANAGER",
        "authorized_official_telephone_number": "559-350-0141"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "040000394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.